充分认识手术
1.Surgery is a controlled trauma under anaesthesia.
—— Dag Sorlie
【译文】外科手术是麻醉下的一种可控性创伤。
2.Surgery, like war, is hard ...but it is better than war.It saves lives and binds men and women of good will together in deepest friendship.
—— J.Engelbert Dunphy, 1908——1981
【译文】外科手术，就像战争，很难……但比战争要好。它拯救生命，并将善良的男女以最深厚的友谊联系在一起。
3.An operation is an assault on a fellow human being——legalised, but nonetheless an assault.In a sense, today the license to kill is given by society only to surgeons.
—— Alexander J.Walt, 1923——1996
【译文】手术就是对人类同胞的袭击——虽然合法化了，但依然是一种袭击。从某种意义上说，当今社会只给了外科医生“索命许可证”。
【点评】乍一看，此话有些危言耸听，仔细想一想就是这样一个逻辑。
4.The operation is a silent confession to the surgeon's inadequacy.
—— John Hunter, 1728——1793
【译文】手术就是对外科医生能力不足的一种默认。
5.Surgery is always second best, If you can do something else, it's better.
—— John Kirklin
【译文】手术往往是退而求其次的选择，如果能有其他方式替代，当然更好。
6.Every hospital should have a plaque in the physicians' and students'entrances: "there are some patients who we cannot help; there are none whom we cannot harm ".
—— Arthur L.Bloomfield, 1888——1962
【译文】每个医院都应该在医生和学生们的入口处立一块牌：“常有我们帮不了的患者，却没有我们伤害不到的患者”。
7.I never say of an operation that it is without danger.
—— August Bier, 1861——1949
【译文】我从来没说过有“没有危险的手术”。
8.Even an in-growing toenail operation has a hundred percent mortalityeventually.
【译文】即使是一个嵌甲手术, 最终也可能有百分之百的死亡。
9."Big" operation in "fit" patients may be "small"."Small" operation in sick patients may be "big".A "big" surgeon knows to tailor the operation and its trauma to the patient and his disease.
—— Moshe Schein
【译文】 “大”手术对于“合适”的患者而言可能是“小”手术，但对不合适的患者，“小”手术可能是“大”手术。一个“大”外科医生须懂得根据患者和他的疾病来量身定制手术和创伤。
10.Never refer to an operation as "just a … "It reflects lack of appreciation for surgical pathology.For any procedure in surgery can result in horrible complications.The vagaries of human biology assure this.
—— Leo A.Gordon
【译文】任何一台手术，千万不要说：“这，只不过……”,持这种心态者说明他缺乏对外科疾病的认识。因为外科手术的每一步都能导致可怕的并发症，人体生物学的变幻莫测足以证实这一点。
11.A minor operation is what the other person has.(https://www.daowen.com)
【译文】别人做的手术才可称为小手术。
12.You know, my children, that surgical operations are divided into two classes: those that benefit the patient, and those that more often kill.
—— Albucasis, 936——1013
【译文】孩子们，要知道外科手术分两类：一类是患者能获益的手术，另一类是常导致患者丧命的手术。
13.The chance to cut, the chance to cure, the chance to cut, the chance to kill.
【译文】手术是治愈的机会，手术也是致命的机会。
14.In surgery all operations are recorded as successful if patient can be got out of the hospital or nursing home alive, though the subsequent history of the case may be such as would make an honest surgeon vow never to recommend or perform the operation again.
—— George Bernard Shaw, 1856——1950
【译文】在外科,只要患者可以活着离开医院或护理院, 手术就被记录为成功, 哪怕该患者后续的恢复过程会让一个诚实的外科医生发誓永远不会再推荐或做这个手术了。
15.The most important result of any surgical operation is a live patient.
—— Charles H.Mayo, 1865——1939
【译文】任何外科手术最重要的结果是患者活着。
【点评】再简单不过的道理，但就是有些外科医生常常忘了这样一个最基本的初衷。
16.I have never seen a surgeon dying in the operating room as a result of his reckless performance.But I have seen patients die, or feel pain, or undergo complications because of these reckless surgeons.
—— Eduado D.Santibanes
【译文】外科医生的鲁莽行为从来不曾让其本人丧命于手术室，倒霉的常常是患者的死亡或承受痛苦、出现并发症。
17.The operation was a success but the patient died.
【译文】手术成功，但患者死了。
【点评】经常发生但却屡禁不止的外科惨剧！
18.Winning is overemphasized.The only time it is really important is in surgery and war.
—— A.I.McGuire
【译文】平常我们也许太多强调获胜，但对手术和战争来说，获胜真的很重要。
19.Outcome of surgery depends on: 96% preoperation, 1% execution (i.e.the doing of it), 1% repetition, 1% clean-up (for our nursing sister), 1% luck.
—— Tom Gilas
【译文】手术的结果取决于：96%术前准备、1%执行（即手术操作）、1%复述、1%清场（配合护士姐妹完成）、1%的运气。
20.A good operation depends on conservatism, consistent with efficiency;simplicity of technique; operative skill, which includes gentleness, dexterity, and careful speed; and maximal benefit from minimal interference.
—— Charies F.M.Saint, 1886——1973
【译文】 一个好的手术取决于：兼顾效率的保守；简单易行的技术；轻柔、灵巧、仔细利索的操作手法；以及用最小的创伤博取最大的收益。
21.Even in plastic surgery, where meticulous artistry might be thought to be the first consideration, the best results are obtained by those who think, plan,and prepare, rather than by those who perform with the self-conscious skill of the trapeze artist.
【译文】即使在精致的操作技巧占首要地位的整形外科手术，最好的结果依然出自那些有思考、有计划、有准备的人，而不是那些能表演空中飞人一类绝技而自我陶醉的艺人。
【点评】正如斯宾塞（Spencer F.C.）所说：“一台手术中75%的重要事件与决策有关，只有25% 与手工技能有关。”上述两句名言经常为“外科医生手术操作能力评价”的研究者所引用。外科医生手术操作能力不单纯是基于技巧的机械任务，而是一个由“认知能力、心理活动与技巧应用”所构建的三维复合能力架构。