Adachi Hideo
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Kyobu Geka. 2008 Mar;61(3):231-7.
Informed consent is a core component of partnership between the surgeon and the patient. Cardiovascular surgery is a high risk area in medical and surgical fields. An appropriate informed consent is essential for safety management of cardiovascular surgery and good relationship between the surgeon and the patient and his/her family. Concrete explanation of surgical procedures including the risk and benefit is important to share the common understanding of disease and treatment. Before the surgical procedure, we need to explain at least the following 5 contents, (1) name and extent of the disease, (2) contents of surgical procedure, (3) risk of surgery, (4) other options of treatment, and (5) prognosis of the disease.
知情同意是外科医生与患者之间合作关系的核心组成部分。心血管外科是医疗和外科领域中的高风险领域。恰当的知情同意对于心血管外科手术的安全管理以及外科医生与患者及其家属之间的良好关系至关重要。对包括风险和益处在内的手术程序进行具体解释，对于达成对疾病和治疗的共同理解很重要。在手术前，我们至少需要解释以下5项内容：（1）疾病的名称和范围，（2）手术程序的内容，（3）手术风险，（4）其他治疗选择，以及（5）疾病的预后。
