Department of Trauma & Orthopaedics, Queen's Hospital Burton, Burton upon Trent, UK.
Clin Anat. 2020 Sep;33(6):872-875. doi: 10.1002/ca.23570. Epub 2020 Feb 5.
Cadaveric surgical courses are highly useful in developing operative skills, however, the provenance of the cadavers themselves remains opaque. Trade in cadaveric parts is an important source of material for courses, and this has spawned the unique service of body brokerage. Body brokers, however, operate in an unregulated market and obtain bodies by exploiting family members' altruistic instincts and financial concerns. Unethical and illegal sale of body parts has been well-documented, while the use of cadavers for uses other than that consented by donors is also a key concern. Undoubtedly, cadaveric surgical courses would have used bodies sourced from brokers, and questions remain about the moral and ethical implications of this. We discuss this issue using an ethical and historical context as well as offering solutions to ensure the ethical sourcing of cadavers for surgical training.
尸体解剖手术课程对于提高手术技能非常有用，然而，尸体的来源却不透明。尸体买卖是课程材料的重要来源，这催生了人体中介这一独特的服务。然而，人体中介在不受监管的市场中运作，利用家属的利他主义本能和经济担忧来获取尸体。尸体买卖的不道德和非法行为已经有充分的记录，而将尸体用于未经捐赠者同意的用途也是一个主要关注点。毫无疑问，尸体解剖手术课程将使用来自中介的尸体，而这对道德和伦理的影响仍然存在疑问。我们将使用伦理和历史背景来讨论这个问题，并提供解决方案，以确保手术培训中尸体的来源符合伦理道德。
