Board certified in general surgery and in hospice and palliative medicine.
Practices at the Veterans Affairs Maryland Health Care System.
AMA J Ethics. 2021 Oct 1;23(10):E778-782. doi: 10.1001/amajethics.2021.778.
Palliative surgery is often defined as surgical intervention with intent to improve a patient's quality of life by relieving suffering secondary to symptoms of advanced disease. In the context of shared decision making about palliative surgery intervention, tensions can arise between patient (or surrogate) and surgeon, who might not share goals and values. This article suggests that a surgeon's clinical and ethical duty is to identify goals of care, including those related to quality of life, from a patient's perspective and to consider how to achieve them.
姑息手术通常被定义为一种手术干预，旨在通过缓解晚期疾病症状引起的痛苦来提高患者的生活质量。在姑息手术干预的共同决策背景下，患者（或代理人）和外科医生之间可能会出现紧张关系，他们可能没有共同的目标和价值观。本文认为，外科医生的临床和道德责任是从患者的角度确定治疗目标，包括与生活质量相关的目标，并考虑如何实现这些目标。
