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手术中机器人系统的故障:从法律角度看外科医生的作用和责任。

Malfunctions of robotic system in surgery: role and responsibility of surgeon in legal point of view.

作者信息

Ferrarese Alessia, Pozzi Giada, Borghi Felice, Marano Alessandra, Delbon Paola, Amato Bruno, Santangelo Michele, Buccelli Claudio, Niola Massimo, Martino Valter, Capasso Emanuele

机构信息

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

Section of General Surgery, Department of Surgery, Santa Croce e Carle Hospital, Cuneo, Italy.

出版信息

Open Med (Wars). 2016 Aug 2;11(1):286-291. doi: 10.1515/med-2016-0055. eCollection 2016.

Abstract

Robotic surgery (RS) technology has undergone rapid growth in the surgical field since its approval. In clinical practice, failure of robotic procedures mainly results from a surgeon's inability or to a device malfunction. We reviewed the literature to estimate the impact of this second circumstance in RS and its consequent legal implications. According to data from the literature, device malfunction is rare. We believe it is necessary to complement surgical training with a technical understanding of RS devices.

摘要

自获得批准以来,机器人手术(RS)技术在外科领域经历了快速发展。在临床实践中,机器人手术程序的失败主要是由于外科医生的能力不足或设备故障。我们回顾了相关文献,以评估这种第二种情况在机器人手术中的影响及其相应的法律后果。根据文献数据,设备故障很少见。我们认为有必要通过对机器人手术设备的技术理解来补充外科培训。

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J Robot Surg. 2010 Aug;4(2):91-8. doi: 10.1007/s11701-010-0191-1. Epub 2010 May 26.
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Innovation in surgical technology and techniques: Challenges and ethical issues.外科技术与技巧的创新:挑战与伦理问题。
Semin Pediatr Surg. 2015 Jun;24(3):115-21. doi: 10.1053/j.sempedsurg.2015.02.008. Epub 2015 Mar 2.
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Surgical malpractice claims in the United States.美国的医疗事故索赔。
J Healthc Risk Manag. 2014;33(4):29-34. doi: 10.1002/jhrm.21140.
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Underreporting of robotic surgery complications.机器人手术并发症报告不足。
J Healthc Qual. 2015 Mar-Apr;37(2):133-8. doi: 10.1111/jhq.12036.
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Malfunction of the da Vinci robotic system in urology.达芬奇机器人系统在泌尿外科中的故障。
Int J Urol. 2012 Aug;19(8):736-40. doi: 10.1111/j.1442-2042.2012.03010.x. Epub 2012 Apr 4.

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