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医疗责任与甲状腺切除术:外科医生何时犯错?

Healthcare Liability and Thyroidectomy: When Is the Surgeon Wrong?

作者信息

Marrone Maricla, Angeletti Carlo, Leonardelli Mirko, Duma Stefano, Cazzato Gerardo, Gorini Ettore, Dell'Erba Alessandro, Pomara Cristoforo

机构信息

Section of Legal Medicine, Department of Interdisciplinary Medicine, Bari Policlinico Hospital, University of Bari, 70124 Bari, Italy.

Section of Molecular Pathology, Department of Emergency and Organ Transplantation (DETO), University of Bari "Aldo Moro", 70124 Bari, Italy.

出版信息

Healthcare (Basel). 2023 Feb 15;11(4):577. doi: 10.3390/healthcare11040577.

DOI:10.3390/healthcare11040577
PMID:36833111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9956906/
Abstract

Thyroid surgeries can often lead to operative complications, sometimes with consequences on the patient's health. This often leads to claims for compensation but the assessments of consultants and judges are not always objective. Based on these considerations, the authors analyzed forty-seven sentences issued between 2013 and 2022 regarding claims of alleged medical malpractice. This analysis aims to examine the cases presented in the sentences and the evaluations proposed by the judges to offer ideas for objective evaluation by the legislation in force in Italy.

摘要

甲状腺手术常常会引发手术并发症,有时会对患者健康产生影响。这往往会引发赔偿索赔,但顾问和法官的评估并不总是客观的。基于这些考虑,作者分析了2013年至2022年间发布的47份关于医疗事故索赔的判决。该分析旨在审视判决中呈现的案例以及法官提出的评估意见,为意大利现行立法进行客观评估提供思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc69/9956906/10a78dbaa24e/healthcare-11-00577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc69/9956906/10a78dbaa24e/healthcare-11-00577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc69/9956906/10a78dbaa24e/healthcare-11-00577-g001.jpg

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引用本文的文献

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Thyroid surgery, complications and professional liability.甲状腺手术、并发症与职业责任。
Gland Surg. 2023 Aug 30;12(8):1025-1027. doi: 10.21037/gs-23-287. Epub 2023 Aug 11.

本文引用的文献

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The decreasing prevalence of the thyroid ima artery: A systematic review and machine learning assisted meta-analysis.甲状腺下动脉检出率降低:系统评价和机器学习辅助荟萃分析。
Ann Anat. 2022 Jan;239:151803. doi: 10.1016/j.aanat.2021.151803. Epub 2021 Jul 12.
2
The most commonly injured nerves at surgery: A comprehensive review.手术中最常受伤的神经:全面综述。
Clin Anat. 2021 Mar;34(2):244-262. doi: 10.1002/ca.23696. Epub 2020 Nov 12.
3
Continuous intraoperative neural monitoring of the recurrent nerves in thyroid surgery: a quantum leap in technology.
甲状腺手术中喉返神经的连续术中神经监测:技术上的一次巨大飞跃。
Gland Surg. 2016 Dec;5(6):607-616. doi: 10.21037/gs.2016.11.10.
4
Role of Intraoperative Nerve Monitoring During Parathyroidectomy to Prevent Recurrent Laryngeal Nerve Injury.甲状旁腺切除术中神经监测在预防喉返神经损伤中的作用
Cureus. 2016 Nov 15;8(11):e880. doi: 10.7759/cureus.880.
5
Surgical morbidity of cervical lymphadenectomy for thyroid cancer: A retrospective cohort study over 25 years.甲状腺癌颈淋巴结清扫术的手术并发症:25 年回顾性队列研究。
Int J Surg. 2015 Sep;21:128-34. doi: 10.1016/j.ijsu.2015.07.698. Epub 2015 Aug 5.
6
Total thyroidectomy and central lymph node dissection. Experience of a referral centre for endocrine surgery.全甲状腺切除术及中央淋巴结清扫术。一家内分泌外科转诊中心的经验。
G Chir. 2014 May-Jun;35(5-6):117-21.
7
The role of surgery in the current management of differentiated thyroid cancer.手术在分化型甲状腺癌当前治疗中的作用。
Endocrine. 2014 Nov;47(2):380-8. doi: 10.1007/s12020-014-0251-9. Epub 2014 Apr 10.
8
Intraoperative nerve monitoring can reduce prevalence of recurrent laryngeal nerve injury in thyroid reoperations: results of a retrospective cohort study.术中神经监测可降低甲状腺再次手术中喉返神经损伤的发生率:一项回顾性队列研究的结果
World J Surg. 2014 Mar;38(3):599-606. doi: 10.1007/s00268-013-2260-x.
9
Recurrent laryngeal nerve injury in thyroid surgery: a review.甲状腺手术中喉返神经损伤:综述
ANZ J Surg. 2013 Jan;83(1-2):15-21. doi: 10.1111/j.1445-2197.2012.06247.x. Epub 2012 Sep 18.
10
Malpractice litigation after thyroid surgery: the role of recurrent laryngeal nerve injuries, 1989-2009.甲状腺手术后的医疗事故诉讼:1989 年至 2009 年期间喉返神经损伤的作用。
Surgery. 2010 Oct;148(4):718-22; discussion 722-3. doi: 10.1016/j.surg.2010.07.019. Epub 2010 Aug 14.