頭頸部手術における「場」の作り方

抄録

The starting point for becoming a top surgeon is to have “good places” in the operating theatre. “Good place” in the operating theatre can have two meanings: a good operating field and a good environment in the operating theatre. In order to make a good operating field, this three steps (to make appropriate space, to keep and fix the operating field, to prepare appropriate tension of the tissue) are needed in all kinds of operations in the field of head and neck surgery. On the other hand, non-technical skills are necessary to make a good environment in the operating theatre. Non-technical skills consist of situation awareness, decision making, communication/teamwork, leadership. It is the most important and difficult for surgeons to make relaxing atmosphere that every member can speak up anytime in operating theatre. By explicitly describing how to make a “good place,” that so far had been conducted in a tacit manner in the operating theatre, surgery is expected to improve.