Shah Muhammad Hamza, Roy Sakshi, Ahluwalia Arjun, Harky Amer
Internal Medicine, Antrim Area Hospital, Antrim, GBR.
Medicine, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, GBR.
Cureus. 2025 Jul 14;17(7):e87932. doi: 10.7759/cureus.87932. eCollection 2025 Jul.
The patient-surgeon encounter is a complex relationship characterized by the infliction of pain for the patient's benefit. While surgical interventions are deeply personal, a significant knowledge disparity between patients and surgeons poses challenges in communication. Surgical training emphasizes the cultivation of virtues and practices to prioritize patient interests, but contemporary surgical practice still grapples with ethical quandaries. Addressing these challenges head-on is vital for advancing the field while ensuring patient safety, informed consent, cost-effectiveness, and conflict management. This article aims to contribute to the discourse on surgical ethics by delineating its scope, exploring key ethical issues, and examining strategies employed by surgeons. Additionally, it investigates the impact of surgical ethics on patients, surgeons, and society. Through a bibliometric analysis of the top 50 articles, key themes and influential works are identified. Themes include ethics of surgical innovation, history of surgical ethics, surgical ethics in practice, and ethics education. The analysis also reveals trends in countries of origin, authorship, article types, and journal representation. Findings inform the development of ethical frameworks, guidelines, and ethical competencies in surgical practice, promoting patient-centered care and professionalism. Collaboration among stakeholders is essential to shape the future of surgical ethics.
患者与外科医生的接触是一种复杂的关系，其特点是为了患者的利益而施加痛苦。虽然外科手术干预极具个人色彩，但患者与外科医生之间存在的巨大知识差距给沟通带来了挑战。外科培训强调培养美德和实践，以优先考虑患者利益，但当代外科实践仍在应对伦理困境。直面这些挑战对于推动该领域发展、确保患者安全、知情同意、成本效益和冲突管理至关重要。本文旨在通过界定外科伦理学的范围、探讨关键伦理问题以及审视外科医生采用的策略，为有关外科伦理学的论述做出贡献。此外，它还研究了外科伦理学对患者、外科医生和社会的影响。通过对排名前50篇文章的文献计量分析，确定了关键主题和有影响力的作品。主题包括外科创新伦理学、外科伦理学史、实践中的外科伦理学以及伦理教育。分析还揭示了文章来源国、作者身份、文章类型和期刊发表情况的趋势。研究结果为外科实践中的伦理框架、指南和伦理能力的发展提供了参考，促进了以患者为中心的护理和专业精神。利益相关者之间的合作对于塑造外科伦理学的未来至关重要。
