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With advances on scientific knowledge and medical and information technology, the field of Medicine has been moving progressively towards greater subspecialization in recent years. It is now virtually impossible for any single individual to master all of Medicine or Surgery, and there is greater acceptance of the fact that more reproducible, high-quality patient care is provided by those who consistently and repeatedly address defined areas of pathology. With its unique anesthetic considerations, technologic breakthroughs and body of knowledge, the field of General Thoracic Surgery - surgical treatment of the chest and its contents, exclusive of the heart - has now attained sufficient status to warrant its recognition as an independent surgical subspecialty. Historically, the field of thoracic surgery had its origin in the treatment of pulmonary tuberculosis. Several historical “milestones”, however, have fostered the development of General Thoracic Surgery as a distinct specialty: 1. The development of techniques to enable positive endotracheal pressure 2. The successful performance of pulmonary resections-lobectomies by Brunn in 1918 and pneumonectomy by Graham and Singer in 1933 3. The development and refinement of techniques of thoracoplasty for “collapse therapy” of pulmonary tuberculosis by Alexander 4. Advances in the field of esophageal surgery by Torek, Sweet, Ivor Lewis, Belsey and Orringer 5. Successful lung transplantation by Cooper in 1983 6. The more recent evolution of lung volume reduction surgery for pulmonary emphysema.

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2006-07-24   |   804 visitas   |   Evalua este artículo 0 valoraciones

Vol. 18 Núm.2. Abril-Junio 2005 Pags. 101-102 Rev Inst Nal Enf Resp Mex 2005; 18(2)