第一章 概述 1
第二章 无菌术 6
第三章 手术基本操作 14
第四章 剖腹与关腹的常规步骤 27
第五章 盲肠切除术 31
第六章 肠切除、肠端端吻合术 34
第七章 肠侧侧吻合术 38
第八章 胃空肠吻合术 41
第九章 脾切除术 45
第十章 静脉切开术 48
第十一章 气管切开术 51
第十二章 清创缝合术 53
第十三章 外科理念 56
CHAPTER 1 GENERAL OUTLINE 59
Ⅰ. Aim and purpose 59
Ⅱ. Instruction for students entering the surgical skill lab 60
Ⅲ. Organization and management 60
Ⅳ. Operating room personnel 61
Ⅴ. Anesthesia 62
Ⅵ. Operative note and postoperative notes 63
CHAPTER 2 ASEPSIS 65
Ⅰ. Sterilization 65
Ⅱ. Disinfection 66
Ⅲ. Aseptic preparation for operator and animal's skin of operative area 66
Ⅳ. Aseptic principles in operation 70
Ⅴ. Regulation of operating room administration 71
CHAPTER 3 FUNDAMENTAL OPERATIVE TECHNIQUES 73
Ⅰ. Instruments 73
Ⅱ. Ligation 78
Ⅲ. Incision 81
Ⅳ. Division 82
Ⅴ. Hemostasis 83
Ⅵ. Exposure 83
Ⅶ. Suture 84
Ⅷ. Cutting suture 86
Ⅸ. Wound drainage 87
CHAPTER 4 PROCEDURE OF OPENING AND CLOSING ABDOMEN 88
Ⅰ. Preparation of skin of abdomen 88
Ⅱ. Position 88
Ⅲ. Sterilization 88
Ⅳ. Draping 88
Ⅴ. Draping of abdominal sheet 89
Ⅵ. Opening the abdomen 89
Ⅶ. Closure of the abdomen 91
CHAPTER 5 EXCISION OF CECUM 93
Ⅰ. Aim and purpose 93
Ⅱ. Applied Anatomy 93
Ⅲ. Procedures 94
Ⅳ. Main points for teachers 95
CHAPTER 6 EXCISION OF INTESTINE AND END-TO-END ANASTOMOSIS 96
Ⅰ. Aim and purpose 96
Ⅱ. Procedures 96
Ⅲ. Main points for teachers 99
CHAPTER 7 SIDE-TO-SIDE （LATERAL）ANASTOMOSIS OF INTESTINE 100
Ⅰ. Aim and purpose 100
Ⅱ. Procedures 100
Ⅲ. Main points for teachers 102
CHAPTER 8 GASTROJEJUNOSTOMY 104
Ⅰ. Aim and purpose 104
Ⅱ. Applied anatomy 104
Ⅲ. Procedures 104
Ⅳ. Main points for teachers 107
CHAPTER 9 SPLENECTOMY 109
Ⅰ. Aim and purpose 109
Ⅱ. Applied anatomy 109
Ⅲ. Procedures 110
Ⅳ. Main points for teachers 111
CHAPTER 10 VENESECTION 112
Ⅰ. Aim and purpose 112
Ⅱ. Applied anatomy 112
Ⅲ. Procedures 112
Ⅳ. Main points for teachers 114
Ⅴ. Notes 114
CHAPTER 11 TRACHEOTOMY 116
Ⅰ. Aim and purpose 116
Ⅱ. Procedures 116
Ⅲ. Main points for teachers 117
CHAPTER 12 DEBRIDEMENT 119
Ⅰ. Aim and purpose 119
Ⅱ. Definition 119
Ⅲ. Anesthesia and fixation 119
Ⅳ. Procedures 119
Ⅴ. Notes 121
CHAPTER 13 SURGERY PHILOSOPHY 122
Ⅰ. Dignity of life 122
Ⅱ. Determination of success before surgery 123
Ⅲ. The ability to work in a flexible manner 123
Ⅳ. Gentle surgery 123
Ⅴ. Surgical team cooperation 124
Ⅵ. Grasping the surgical indications and making reasonable choices 124
Ⅶ. Courage to advance and to withdraw 124
Ⅷ. Surgical ethical, law 124