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机器人手术中的知情同意:信息质量与患者认知

Informed consent in robotic surgery: quality of information and patient perception.

作者信息

Ferrarese Alessia, Pozzi Giada, Borghi Felice, Pellegrino Luca, Di Lorenzo Pierpaolo, Amato Bruno, Santangelo Michele, Niola Massimo, Martino Valter, Capasso Emanuele

机构信息

Department of Oncology, San Luigi Hospital, Regione Gonzole 10, Orbassano (Torino), Italy , Tel.: 0119026224.

Section of General Surgery, Department of Oncology, San Luigi Hospital, Orbassano (Torino), Italy.

出版信息

Open Med (Wars). 2016 Aug 2;11(1):279-285. doi: 10.1515/med-2016-0054. eCollection 2016.

DOI:10.1515/med-2016-0054
PMID:28352808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5329841/
Abstract

INTRODUCTION

Obtaining a valid informed consent in the medical and surgical field is a long debated issue in the literature. In robotic surgery we believe in the necessity to follow three arrangements to make the informed consent more complete.

MATERIAL AND METHODS

This study presents correlations and descriptions based on forensic medicine concepts research, literature review, and the proposal of an integration in the classic concept of informed consent.

CONCLUSION

In robotic surgery we believe in the necessity to follow three arrangements to make the IC more complete. Integrate the information already present in the informed consent with data on the surgeon's experience in RS, the number of procedures of the department and the regional map of expertises by procedure.

摘要

引言

在医学和外科领域获得有效的知情同意是文献中长期争论的问题。在机器人手术中,我们认为有必要遵循三种安排以使知情同意更加完善。

材料与方法

本研究基于法医学概念研究、文献综述以及对经典知情同意概念进行整合的提议,呈现相关性和描述。

结论

在机器人手术中,我们认为有必要遵循三种安排以使知情同意更加完善。将知情同意中已有的信息与外科医生在机器人手术方面的经验数据、科室手术数量以及按手术划分的区域专业图谱相结合。

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Informed consent in robotic surgery: quality of information and patient perception.机器人手术中的知情同意:信息质量与患者认知
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本文引用的文献

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Informed consent for innovative surgery: a survey of patients and surgeons.创新手术的知情同意:患者和外科医生的调查。
Surgery. 2013 Apr;153(4):473-80. doi: 10.1016/j.surg.2012.08.068. Epub 2012 Dec 4.
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How Informed is "Informed Consent" for Robotic Cardiothoracic Surgery?机器人心胸外科手术的“知情同意”有多知情?
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New technology and health care costs--the case of robot-assisted surgery.新技术与医疗保健成本——机器人辅助手术的案例
N Engl J Med. 2010 Aug 19;363(8):701-4. doi: 10.1056/NEJMp1006602.
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Legal and ethical issues in robotic surgery.机器人手术中的法律和伦理问题。
Int Angiol. 2010 Feb;29(1):75-9.
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Training, credentialing, proctoring and medicolegal risks of robotic urological surgery: recommendations of the society of urologic robotic surgeons.机器人泌尿外科手术的培训、认证、监考及法医学风险:泌尿外科机器人外科医生学会的建议
J Urol. 2009 Sep;182(3):1126-32. doi: 10.1016/j.juro.2009.05.042. Epub 2009 Jul 21.
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Robotic gynecologic surgery.机器人妇科手术
Obstet Gynecol. 2008 Dec;112(6):1369-1384. doi: 10.1097/AOG.0b013e31818f3c17.
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The cost of learning robotic-assisted prostatectomy.学习机器人辅助前列腺切除术的成本。
Urology. 2008 Nov;72(5):1068-72. doi: 10.1016/j.urology.2007.11.118. Epub 2008 Mar 3.
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Is informed consent in cardiac surgery and percutaneous coronary intervention achievable?心脏手术和经皮冠状动脉介入治疗中的知情同意是否可行?
ANZ J Surg. 2007 Jul;77(7):530-4. doi: 10.1111/j.1445-2197.2007.04143.x.
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The therapeutic misconception and our models of competency and informed consent.治疗性误解以及我们的能力与知情同意模式。
Behav Sci Law. 2006;24(4):535-46. doi: 10.1002/bsl.700.
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Analysis of surgical errors in closed malpractice claims at 4 liability insurers.对4家责任保险公司已结案医疗事故索赔中的手术失误进行分析。
Surgery. 2006 Jul;140(1):25-33. doi: 10.1016/j.surg.2006.01.008.