
Surgeons and the Scope
James R. Zetka
In Surgeons and the Scope, James R. Zetka Jr. describes the impact of the video laparoscope on the work lives of contemporary surgeons. The video laparoscope allows surgeons to peer into the inner abdomen with a miniaturized camera, thereby enabling them to perform complex operations without large incisions through small ports punched into the abdominal wall. This technological innovation revolutionized surgery as we know it.
Zetka blends rich interview and archival data into a compelling account of an important technological development. He shows how the new laparoscopic technology challenged surgeons to rethink their approaches to surgery, to relearn basic hand-eye coordination, to master complex machinery, and to shift from individualistic to team-based work strategies. Zetka then explains how and why general surgeons embraced this disruptive technology by examining the breakdown of the division of labor between general surgeons and gastroenterologists in response to the unintended and unanticipated outcomes of the scope technology.
In Surgeons and the Scope, Zetka weaves cultural, structural, and political economic developments into a sophisticated account of technological change. By viewing the advent of laparoscopic surgery within the context of the history, culture, and ideology of medicine, Zetka provides a deeper understanding of the politics of technology, particularly its effects on job skills, occupations, and worker control.
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About James R. Zetka
Reviews for Surgeons and the Scope
Beth A. Bechky, University of California, Davis
American Journal of Sociology
Surgeons and the Scope is the fifth volume in a Cornell University series on technology and work. The author is a sociologist who used interviews of practitioners, observations of videoscopic procedures, and archival materials to describe the interplay of forces in medicine and surgery and other factors that led to surgeons' development and control of laparoscopic surgery. The book is written as a sociological case study of the impact of technology on work and is a solid contribution to the sociology of occupations and professions. Moreover, those other than sociologists should also find it an interesting and insightful account of the development and impact of 'scope' technology.
Journal of the American Medical Association