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外科手术的舞台:活体手术的伦理与法律影响

The Theatre of Surgery: The Ethical and Legal Implications of Live Surgeries.

作者信息

Pai Satvik N, Jeyaraman Naveen, Jeyaraman Madhan, Yadav Sankalp

机构信息

Orthopaedics, People's Education Society (PES) University Institute of Medical Sciences and Research, Bengaluru, IND.

Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, IND.

出版信息

Cureus. 2024 Aug 7;16(8):e66351. doi: 10.7759/cureus.66351. eCollection 2024 Aug.

Abstract

Surgical training has long emphasized learning through direct observation, allowing young surgeons to gain practical insights from experienced surgeons. The advent of live surgical demonstrations has extended this learning method, providing real-time broadcasts of surgeries to wider audiences. Live surgery is a surgery that is broadcasted in real time to an audience. While live surgeries offer substantial educational benefits, enabling the rapid dissemination of advanced surgical techniques and reducing the learning curve for surgeons, they also raise critical ethical and legal questions. Concerns include potential compromises in surgical outcomes due to increased pressure on surgeons, the ethical implications of patient consent, privacy issues, and the ambiguity of accountability when complications arise. In India, these concerns have intensified following a patient's death during a live surgery, prompting legal scrutiny and a Supreme Court petition seeking to regulate the practice. This article delves into the multifaceted debate surrounding live surgeries, examining both their educational value and the ethical, legal, and practical challenges they pose. We aim to provide a comprehensive overview that will inform readers about the complexities of live surgeries, spread awareness, and stimulate further discussions on this evolving practice.

摘要

长期以来,外科手术培训一直强调通过直接观察来学习,让年轻外科医生能够从经验丰富的外科医生那里获得实践见解。现场手术演示的出现扩展了这种学习方法,将手术的实时转播带给更广泛的受众。现场手术是指将手术实时转播给观众。虽然现场手术具有巨大的教育益处,能够迅速传播先进的手术技术并缩短外科医生的学习曲线,但它们也引发了关键的伦理和法律问题。这些问题包括由于外科医生压力增加可能导致手术结果受损、患者同意的伦理影响、隐私问题以及出现并发症时责任的不明确性。在印度,一名患者在现场手术过程中死亡后,这些担忧加剧,引发了法律审查以及向最高法院提出的规范该做法的请愿。本文深入探讨围绕现场手术的多方面辩论,审视其教育价值以及它们所带来的伦理、法律和实际挑战。我们旨在提供一个全面的概述,让读者了解现场手术的复杂性,提高认识,并激发关于这种不断发展的做法的进一步讨论。

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本文引用的文献

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Live surgery: highly educational or harmful?现场手术:极具教育意义还是有害?
World J Urol. 2018 Feb;36(2):171-175. doi: 10.1007/s00345-017-2118-1. Epub 2017 Nov 9.

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