J Clin Ethics. 2024 Fall;35(3):180-189. doi: 10.1086/730873.
AbstractThe field of surgery has relied on innovation and creativity to improve patient care and propel the field forward. Historically, regulatory oversight of innovative approaches to surgery has been largely inconsistent, rendering surgeons relatively unrestricted creative latitude in the operating room; whether this has proven to be more beneficial or harmful is subject to debate. While innovation plays a crucial role in the advancement of surgical techniques, the potential drawbacks of unregulated innovation must be seriously considered, especially when treating vulnerable populations such as infants and children. This article provides an overview of the ethical aspects surrounding innovation in pediatric surgery, including discussion of relevant considerations, controversies, and pitfalls. The following includes a review of the current and past literature surrounding the topic. The purpose of this review is to heighten awareness of the ethical challenges that surgeons face when considering novel operative techniques on pediatric patients.
摘要
外科领域一直依赖创新和创造力来改善患者护理并推动该领域向前发展。从历史上看，对外科创新方法的监管监督在很大程度上是不一致的，这使得外科医生在手术室中具有相对不受限制的创造性空间；这种情况是更有益还是更有害仍存在争议。虽然创新在外科技术的进步中起着至关重要的作用，但必须认真考虑不受监管的创新的潜在缺点，特别是在治疗婴儿和儿童等弱势群体时。本文概述了儿科手术创新所涉及的伦理方面，包括对相关考虑因素、争议和陷阱的讨论。本文还回顾了围绕该主题的当前和过去的文献。本综述的目的是提高外科医生在考虑对儿科患者进行新手术技术时所面临的伦理挑战的认识。
