A proposal for limited criminal liability in high-accuracy endoscopic sinus surgery

被引:6
作者
Voultsos, P. [1 ]
Casini, M. [2 ]
Ricci, G. [3 ]
Tambone, V. [4 ]
Midolo, E. [2 ]
Spagnolo, A. G. [2 ]
机构
[1] Aristotle Univ Thessaloniki, Sch Med, Lab Forens Med & Toxicol, Thessaloniki, Greece
[2] Univ Cattolica Sacro Cuore, Sch Med, Inst Bioeth & Med Humanities, Rome, Italy
[3] Univ Camerino, Sch Law, Camerino, Italy
[4] Campus Biomed Univ Rome, Inst Philosophy Sci & Technol Act, Rome, Italy
关键词
Endoscopic sinus surgery; Malpractice; Medical liability; Gross negligence; Italian Law 189/2012; SKULL-BASE HEIGHT; MEDICAL-MALPRACTICE; COMPLICATIONS; RHINOSINUSITIS; PRESERVATION; FEASIBILITY; MANAGEMENT; ANATOMY; NERVE;
D O I
10.14639/0392-100X-1292
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The aim of the present study is to propose legal reform limiting surgeons' criminal liability in high-accuracy and high-risk surgery such as endoscopic sinus surgery (ESS). The study includes a review of the medical literature, focusing on identifying and examining reasons why ESS carries a very high risk of serious complications related to inaccurate surgical manoeuvers and reviewing British and Italian legal theory and case-law on medical negligence, especially with regard to Italian Law 189/2012 (so called "Balduzzi" Law). It was found that serious complications due to inaccurate surgical manoeuvers may occur in ESS regardless of the skill, experience and prudence/diligence of the surgeon. Subjectivity should be essential to medical negligence, especially regarding high-accuracy surgery. Italian Law 189/2012 represents a good basis for the limitation of criminal liability resulting from inaccurate manoeuvres in high-accuracy surgery such as ESS. It is concluded that ESS surgeons should be relieved of criminal liability in cases of simple/ordinary negligence where guidelines have been observed.
引用
收藏
页码:65 / 71
页数:7
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