Surgical Regret and Intraoperative Decision-Making: A Living Donor Kidney Case

被引：0

作者：

Cassidy, Devon E. ^{[1
]}

Vercler, Christian ^{[2
]}

Englesbe, Michael ^{[3
]}

Firn, Janice ^{[4
]}

机构：

[1] Michigan Med, Dept Surg, Ann Arbor, MI USA

[2] Michigan Med, Dept Plast Surg, Ann Arbor, MI USA

[3] Michigan Med, Dept Surg, Sect Transplantat Surg, Ann Arbor, MI USA

[4] Michigan Med, Dept Learning Hlth Sci DLHS, Div Profess Educ, Ann Arbor, MI USA

来源：

AMERICAN SURGEON | 2024年 / 90卷 / 06期

关键词：

transplant surgery; ethics; regret; surgical education; resident education;

D O I：

10.1177/00031348241241742

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Surgical regret often experienced at times of a great loss may cause a surgeon to reflect on their practice and intraoperative decision-making. It is inevitable that in the surgical profession, both in training and practice, a surgeon's decisions will be questioned by themselves, peers, and possibly patients. Here, we explore a case of living donor kidney donation in which the surgeon chooses to discontinue the operation for an incidental finding. Ultimately, this is against the patient's wishes and a decision over which both the surgeon and patient experience moral hazard and regret. This article explores surgical regret from the lens of an altruistic donor case and a surgeon's inaction, discussing the ethics of the operative decision-making and surgeon's viewpoint intra- and post-operatively.

引用

页码：1772 / 1774

页数：3