0
Correspondence |

Laparoscopic Surgery: Ethical Considerations and Lawful Medicine

Luca Mario Bucci, MD; Fabrizio Panaro, MD; Tomasz Marek Jarzembowski, MD; Andrea Ventura, MD
Arch Surg. 2003;138(7):810. doi:10.1001/archsurg.138.7.810.
Text Size: A A A
Published online

Extract

The availability of local, national, or international guidelines that state preferences for laparoscopic operations raises the question, Is it right to have the patient undergo a laparotomy, when the laparoscopic option is available? This is the status questionis of an eventuality that is becoming more and more frequent.

The first concern, which is of a deontological nature, is that the doctor should provide the patient with as much accurate information as possible on the operating methods, the patient's clinical condition, and up-to-date surgical techniques. We will analyze the risks and benefits of laparoscopic operations for patients as well as for the community in which health structures operate. So-called outpatient surgery, or 1-day surgery, has considerable advantages in terms of hospital admittance costs. The increase in the number of patients treated with laparoscopy can provide financial coverage for instruments and specialized laparoscopic staff. This justifies the tendency of health institutions to adapt the general guidelines proposed by International Scientific Organizations (the European Association of Endoscopic Surgery and the Society of American Gastrointestinal Endoscopic Surgery) in order to benefit from promotion of laparoscopy.1,2 Laparoscopic procedures are less invasive, and patients require less management postoperatively, especially elderly patients, who have a higher risk of developing complications. Despite these advantages and the increasing use of laparoscopic techniques, one must not neglect patients who are left to their own resources soon after the operation.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();