2024-05-182024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/715778【History】 When National Taiwan University Hospital was established in 1895, our department was divided into two divisions- the first and second surgical division. The traditional Japanese pyramid structure of surgical training was adopted. After the restoration of Taiwan, Taiwanese surgeon professor Pang-Hsing Shus, Hsi-Yu Fang, and Chen-Jen Hsieh took charge and made great contributions in both medical and surgical services. Two surgical divisions were merged in 1950 under the lead of professor Tien-Cheng Kao, also the superintendent of NTUH. Many leaders in the field of surgery were nurtured during this time. This also catapulted our department to one of Taiwan’s surgical elites. In 1962, Professor Tien-Yu Lin became the chief of surgical department. He was renowned internationally for inventing the finger-fracture technique for hepatoma resection and Lin’s clamp. This encouraged innovation and established the international academic status of NTUH. The successors to the position of chairman professor, Professor Shu-Chien hsu, Professor Chi-Jen Hung, Professor Kai-Mo Chen, Professor Shu-Hsun Chu, Professor King-Jen Chang、Professor Po-Huang Lee and the chairman professor Yung-Chie Lee performed their leadership duties on a solid ground with perseverance, aggressive attitude, and both innovative and idealistic mind. This in turn inspired their colleagues to excel in the aspect of education, research, and clinical service. 【 Current Status】 The current chairman of the department is professor Hong-Shiee Lai. Vice chairman is associate professor Jin-Tung Liang. There are 63 full-time and 77 part-time attendings, 72 residents, and 21 paramedics in total serving in the 9 divisions of general surgery, colorectal surgery, pediatric surgery, cardiovascular surgery, thoracic surgery, neurosurgery, plastic surgery, lab. surgery and surgical intensive care. Each department, with a chairman leading the development of its division, provides complete and proper training for surgical trainees. Our department currently has 354 general beds, 7 intensive care units with a total of 61 beds, a burn center, a hyperbaric oxygen center, and a cyberknife center, all offering great quality of patient care. Chairman Lee has also contributed to the establishment of the reference room of surgical literature and history on the eighth floor of the research building, as instilled more well-grounded knowledge in our surgeons. Each hospital ward has a small discussion room, and medium discussion rooms are available on the eighth and ninth floor of the research building and 9D ward. Thus, adequate space for all kinds of education and discussion was provided. With the purpose to prevail the basic concept and practical application, our department provides education in all kinds of surgical disease in terms of diagnosis, surgical treatment, and postoperative care to medical students, clerks, interns, residents, fellows, and trainees from other hospitals or abroad. To cultivate the ability of logical analysis and problem-solving, group discussions, bedside teachings, morning meetings, morbidity and mortality conferences and various methods are used. Our department makes full use of the minimal invasive surgical training center and its facilities along with providing a variety of teaching activities, and hands-on experience to foster familiarity in a variety of surgical techniques and thus elevating the quality of care. In respect of research, our department covers both clinical and basic fields and also leverages the resources from National Taiwan University for collaboration, enhancing the quality and quantity of our research year by year. We have 74 funded projects in the year 2008 with a total research funding of 104,063,679 New Taiwan Dollars. In addition, a total of 197 papers were published, of which 178 are SCI papers. All of the papers were above the standard, and each attending published 3 papers on average. The well-known research includes extracorporeal membrane oxygenation, assisted cardiopulmonary resuscitation, hepatocyte transplantation, lung cancer, hepatocellular carcinoma, colorectal cancer, gastric cancer, etc. All colleagues are encouraged to pursue further in-service advanced education. Currently, there are 24 students in the Master’s or PhD program, 5 attendings studied in world renowned institutes in the United States and the United Kingdom, and 4 residents traveled to well known institutes in the United States and Japan for short-term rotation. Each year, our department serves about 15,602 general ward patients, 3,001 intensive care unit patients, and provides approximately 115 out-patient clinics each month. In addition, our department dispatches colleagues to support the department of Integrated Diagnostics & Therapeutics and Health Management Center, endoscopic examination, abdominal ultrasonography and breast sonography. We have performed a total of 11,072 operations in 2008. Among these operations, microsurgery, transplantation surgery, reconstruction surgery and cardiac surgery were the most successful in Taiwan. Our department has been the pioneer in performing many various operations in Taiwan, including hepatic resection, cardiac surgery, renal transplantation, coronary artery bypass graft surgery, separation of conjoined twins and many others. We have also performed the first successful embolization of giant intracranial dural arteriovenous malformation in the world. As a visionary to the future, our goal is to hold on to our great tradition, while keeping innovating and providing high quality health care to people. 【Characters of Department of Surgery】 While carrying on the great surgical tradition, maintaining skillful surgical techniques, placing value on education, academic research, and medical ethics, we are devoted to promoting research and innovation, nurturing the surgical elites of Taiwan, and maintaining the leading status of Taiwan surgical society. 【Conclusion】 Surgery itself is an ever challenging science and art. Due to the evolving social environment and value, there is an absence of willingness for young doctors to devote themselves to such a high risk occupation. Our department will continue to demand the standard of our great surgical tradition, aiming for complete and equal training in medical education, academic research, and clinical service of our trainees. The department will offer residents a great learning environment in order to cultivate the future leaders for Taiwan surgical society. On the basis established by our predecessors, we will intensify our research in every aspect. For keeping pace with the international standard of surgical care, the new surgical treatment was inaugurated to aggressively promote the standard of surgical education, research, and treatment in Taiwan.【沿革】 本部自1895年台大醫院創建之初，即分為第一及第二外科，沿襲日式訓練之金字塔架構。台灣光復後，本土外科醫師徐傍興、方錫玉、謝振仁教授等人承擔大任，在醫療服務、手術方面均有相當大的貢獻。1950年第一及第二外科合併，由高天成教授接任之後，又擔任本院院長，大量培養外科領導人才，使本部成為台灣外科菁英之搖籃。1962年林天祐教授接任部主任，其肝癌手指切肝法及林氏鉗揚名國際，開創本部創新發展之風氣，並奠定了國際學術地位。之後接任的許書劍教授、洪啟仁教授、陳楷模教授、朱樹勳教授、張金堅教授、李伯皇教授及李元麒教授均遵循前輩腳踏實地、刻苦耐勞的精神，展現積極主動的態度，以兼具開創性及理想性的眼光帶領台大外科同仁在教學、研究、服務三大領域深耕，持續保持領先地位。 【現況】 現任主任為黃俊升教授，共有­­­­­­64位專任主治醫師、77位兼任主治醫師、54位住院醫師、及21位相關醫事人員，隸屬一般外科、大腸直腸外科、小兒外科、心臟血管外科、胸腔外科、神經外科、整形外科、實驗外科及重症加護外科等九個次分科；每一分科均設有主任一名，領導各次專科發展，使本部成為完備的外科醫師訓練基地。 本部現有354張一般病床、7個加護病房共61張病床、燒燙傷中心及電腦刀治療室，肩負住院病患照顧之重任。臨床研究大樓8、9樓設有10個核心實驗室，計有血管新生實驗室、神經生理實驗室、再生醫學實驗室、細胞生物實驗室、分子生物學實驗室、移植及腫瘤免疫實驗室、新陳代謝實驗室、免疫營養實驗室、兒童外科實驗室，並設有細胞培養室、小動物實驗室、暗房等，提供部內同仁優質研究場所。李元麒教授並斥資成立外科文史資料室，位於研究大樓八樓，提升外科醫師人文素養。各病房均有小型討論室，研究大樓八樓、九樓及9D病房設有中型會議室，做為各類教學及討論會之用。 本部擔負醫學生、實習醫學生、實習醫師、住院醫師、研修醫師及外院、外國代訓醫師有關各項外科疾患之診斷、手術治療及術後照顧等教學工作，旨在所傳授之基本理論及實際應用，能做為他們從事臨床及研究工作的根基。利用小組討論、床邊實際教學、晨會、合併症及死亡病例討論等多元化方式，培養邏輯分析及解決問題的能力。充分利用微創手術訓練中心場地及設備，融入各項教學活動，提供多樣式的實際操作經驗，以期熟稔各項手術技能，進而提升醫療品質。 本部研究範疇兼顧臨床與基礎，並善用台灣大學資源做跨院系的合作研究。研究的質量逐年提昇，2010年同仁申請到83個研究計畫，計有97,542,283元的研究經費；共發表407篇論文，SCI論文有182篇，均在水準之上，平均每位主治醫師發表3篇論文，著名研究成果包括葉克膜輔助心肺復甦、肝細胞移植、肺癌、肝癌、大腸直腸癌及胃癌等。同時鼓勵各層級同仁在職進修，目前博碩士班研究生共26名；2011年薦送4位主治醫師前往美國、日本知名機構進修，3位住院醫師前往美國、日本知名機構短期進修。 本部每年服務約15,602人普通住院病患，3,001人加護病房住院病患，每個月約提供115個門診服務，並派員支援綜合診療部及健檢中心、內視鏡檢查、腹部超音波檢查及乳房超音波檢查等業務。2011年共施行大小各類手術共18,942台，其中各類微創手術、移植手術、重建手術、心臟手術、癌症治療等，治療成效居全國之領先地位。過去本部施行多項全國第一例手術，如肝臟切除、開心手術、腎臟移植、冠狀動脈繞道手術、連體嬰分割…等，也完成世界首例顱內巨型硬腦膜動脈畸形栓塞手術，未來將秉持此優良傳統，繼續提供國人優質的健康照護。 【台大外科的特色】 承襲優良傳統，維持高超的醫術，重視教學、學術及醫病倫理，持續研究與創新，培育台灣外科醫界菁英之搖籃，並位居台灣外科龍頭地位。 【結語】 外科是一門具有挑戰性的科學與藝術。因社會環境變遷及價值觀改變，影響年輕醫師投入此一高風險職業的意願，本部將秉持一貫優良傳統，力求教學、研究、服務三方面均衡發展，提供住院醫師良好學習環境，以培養台灣外科未來領導人為己任。在前人奠定的根基之上，多方面深入研究，積極開創外科嶄新治療方向，進而提昇全國外科教育、研究、治療之水準，與國際並駕齊驅。Academic Institute