手术原则
1.The rituals of an operation commence before, sometimes long before, the incision is made, and may continue for a long period after the wound is healed.
—— Berkeley Moynihan, 1865——1936
【译文】手术的规范流程是在切皮之前，有时是更久之前就开始了的，并且可能会持续到伤口愈合后很长一段时间。
【点评】的确，一台手术的成败不仅与手术台上的几小时相关，更与手术前准备与手术后处理关系密切。
2.The seven P's of any procedure: Proper Prior Planning Prevents Piss Poor Performance.
—— Steven Tennenberg
【译文】每一台手术都不例外的7个P：恰当的事先计划可避免糟糕的表现。
【考注】 7Ps 的 说 法 最 早 源 自 英 国 军 队 ， 另 一 个 版 本 是 “Proper Planning and Preparation Prevents Piss Poor Performance”。还 有 省 略 为 6Ps 的“Proper Planning and Preparation Prevents Poor Performance”。
3.The most important thing before an operation is what I think about it the night before.
—— Francis D.Moore, 1913——2001
【译文】术前最重要的事是手术前一晚多想想这台手术。
4.Allow patients to escape with the slightest attack of surgery your skill can supply.
—— Robert Tuttle Marris, 1857——1945
【译文】让患者免受伤害，哪怕是手术操作所带来的最轻微伤害。
5.In surgery, eyes first and most, fingers next and little; tongue last and least.
—— Humphrey George Murray, 1820——1896
【译文】手术中，眼为先，多看；手指其后，不要轻易动；舌头最后，尽量少说。
6.The surgeon must operate by sight, not by faith.
—— Rodney Maingot, 1893——1982
【译文】外科医生一定是凭所见而不是所信来决定手术。
7.There are a few ways to skin a cat-the simplest is usually the best.
—— Moshe Schein
【译文】剥猫皮的办法有若干种——通常，最简单的是最好的。
8.In the craft of surgery the master word is simplicity.
—— Berkeley Moynihan, 1865——1936
【译文】外科手艺的核心是简单。
【点评】化繁为简是外科医生的大智慧。
9.The simpler the procedure, the better the results.
—— Charles F.M.Saint, 1886——1973
【译文】过程越简单，结果越好。
10.The fourth dimension in surgical management is time.
—— Ivor Lewis, 1895——1982
【译文】外科处理的第四个维度是时间。
【点评】“时间不语，却回答了许多问题”，外科手术也不例外。
11.While the patient is better off in the hands of a timid, painstaking surgeon than in those of a bold, destructive operator, judicious boldness——the boldness that comes from the certainty of knowledge, and the certainty of one's self——is a creditable asset to the possessor.
—— Warren Stone Bickham, 1886——1936
【译文】虽然患者落在一个胆小、勤勉的外科医生手里比在一个胆大、具有破坏性的手术者手里要好。但合理的大胆——即基于确定的专业知识，和笃定的自身能力的大胆——对拥有者来说是一种值得信赖的资产。
12.The boldness that comes from ignorance or recklessness cannot be too sweepingly condemned.Timidity is practically always an agony to the operator himself -often an ignorance of surgical pathology, but much more frequently an ignorance of pure anatomy.
—— Warren Stone Bickham, 1886——1936
【译文】对无知或鲁莽的大胆怎么谴责都不过分。对手术者自身而言，胆怯实际上常常是一种痛苦——其根源通常是不懂外科病理，而更多见的是纯解剖学知识的欠缺。
【点评】过分谨慎是能力和知识储备不足的无奈之举。
13.Always do the things you are afraid to do——next time it will be much easier.
—— Charies F.M.Saint, 1886——1973
【译文】多做你不敢做的事——下次就不难了。
14.Surgery is not difficult, nor scary, it is fun.
—— Kenneth W.Warren, 1911——2001
【译文】手术不难，也不可怕，是件很快乐的事。
15.Everything in surgery is complicated until one learns to do it well, then it is easy.
—— Robert E.Condon
【译文】手术中的每一件事都不简单，直到学会、做好了才变得容易了。
【点评】“学之，则难者亦易矣；不学，则易者亦难矣”。
16.An operative list is like a chess game series: you have to play one case at a time without regard to the results of the previous case or for the difficulty of the one to follow.
【译文】（摆在你面前的）一张手术清单就像棋类竞赛的系列赛事安排：你就专注于当下这一盘，不要顾虑前盘的结果，也不要想着下一盘有多么困难。
【点评】站在手术台就只管这一台的事，其他天大的事都暂时置于脑后。
17.A work on surgery … without principles, may compared to a vessel at sea without helm or rudder to guide it to its place of destination.
—— Samuel Gross, 1805——1884
【译文】没有章法的手术就像海上一艘没有舵或舵手的船，如何能到达目的地？
18.But the quality which is considered of the highest order in surgical operations is self-possession; the head must always direct the hand.
—— Astley Paston Cooper, 1768——1841(https://www.daowen.com)
【译文】外科手术中最重要的品质是泰然自若，始终坚持手听命于脑。
19.Don't put your hands before your mind.
—— Nick Mendel
【译文】没想好一定不要急于先动手。
20.Measure thrice, think twice, cut once.
【译文】再三度量、反复思考、果断下刀。
21.In surgery as in love, too much concentration on technique can often lead to impotence.
【译文】外科手术犹如性爱，过于专注于技术往往会导致阳痿。
22.I believe in the three principles of surgery: hemostasis, asepsis, and elimination of dead space.
—— Phil Caropreso
【译文】我相信手术的三个原则：止血、无菌和消除死腔。
23.I believe these principles are important: bloodless and transfusion-free,tension-free, and pain-free surgery.
—— P.O.Nyström
【译文】我坚信这些重要的原则：不出血、免输血、无张力和无痛手术。
24.When swimming with sharks do not thrash in the water and do not drip blood.
—— Margaret Dunn
【译文】（做手术）犹如与鲨鱼共泳，不要在水中瞎扑腾，不要见血。
【点评】比喻奇特，但很准确。
25.Carry out the two fundamental surgical requirements: see what you are doing and leave a dry field.
—— Charles H.Mayo, 1865——1939
【译文】手术中遵循两个基本要求：明白你正在做什么，留下一个干爽手术野。
26.Surgery like lovemaking must be done gently and with adequate exposure.
【译文】手术像做爱，必须轻柔，并且要充分地暴露。
27.In spanish: la cirurgia de la gallina - una escarvadita, una cagadita.Operating like a hen: a little dig, a little excrement ...
—— Jose Lucas Ramirez Gil
【译文】西班牙语：la cirurgia de la gallina-una escarvadita，una cagadita。做手术要像母鸡刨坑拉屎一样：刨一点，拉一点……
28.General advice in treating patients: don't scratch where it doesn't itch.
—— Rick Paul
【译文】处理患者的一般原则是：不要没事找事。
29.Beware of meddlesome operating.
—— Mark M.Ravitch, 1910——1989
【译文】小心那些不相干的操作。
【点评】与本次手术无关，与主要操作区域无关的操作不仅画蛇添足，还有可能惹上麻烦。
30.It will never get better if you keep picking at it!
【译文】没完没了折腾，情况不可能变得更好！
31.It is better to be lucky than good, and the better you are, the luckier you become.
【译文】比优秀更好的是幸运，你做得越好，你就会越幸运。
【点评】优秀是主观努力可得到的，幸运是上帝给予做得好的人的赏赐。
32.The enemy of good is better.
【译文】好的敌人是更好。
【点评】“见好就收”是有经验外科医生常挂在嘴边的一句话。
33.In surgery like in sex: don't complain about too much surgery because there will be times when you don't get enough.
【译文】手术犹如性爱，不要太多抱怨，因为总有你感觉意犹未尽的时候。
34.It is wiser to operate well than brilliantly - a superlative degree of the former, and a reasonable degree of the latter should be the surgeon's aim.Probably many lives have been the direct cost of unbalanced operative brilliancy.
—— Warren Stone Bickham, 1886——1936
【译文】聪明的手术者求好不求炫——外科医生的目标应该是前者达到最高程度，而后者达到合理程度。或许不少时候就因为追求不合理的绚烂而直接付出了生命的代价。
【点评】“做手术求好而不求炫”是血的教训，应当始终铭记。
35.As apposed to genuine serious surgery are showmanship and exhibitionism.Showmanship is only produced when visitors are present, whereas exhibitionism is entirely independent of who is present and is, consequently, the greater menace,worst when the surgeon indulges in it even when alone, apparently in self adoration.
—— Charles F.M.Saint, 1886——1973
【译文】与真正严谨手术形成对照的是秀技巧与表现狂。秀技巧只是有参观者在场时才露一手；而表现狂则完全不分场合，并且威胁更大。最糟糕的是外科医生纵然独自一人也常沉湎其中，明显就是自我崇拜。
36.A good retreat is better than a brave stand.
【译文】完美的撤退好过勇猛的挺在那儿。
37.Many times, when operating, the highest wisdom is to stop.
—— J.Chalmers Da Costa, 1863——1933
【译文】事实无数次证明，手术中的最高智慧就是勇于终止手术。
38.In surgery, as in love, never say never, never say always.
—— Jorge Bezama
【译文】外科手术就像恋爱，绝不要说从不、也永远不要说总是。