Legal aspects of complications in laparoscopic cholecystectomy
Legal aspects of complications in laparoscopic cholecystectomy
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DOI：
10.1007/s001040050204
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发表时间：
1997-04-01
期刊：
影响因子：
--
通讯作者：
Hirner, A
中科院分区：
文献类型：
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作者：
Low, A;Decker, D;Hirner, A
随着腹腔镜胆囊切除术越来越成熟，人们对法律方面的兴趣也在增加。为了确定并发症的法律后果，对采用这种腹腔镜方法以来在德国处理的法律案件进行了研究。在40起案件中，16起被判定为渎职案件，24起被判定为不是。最常见的原因是胆总管损伤(26例)。在这26起案件中，有7起被判定为渎职案件，其中2起被判定为严重错误。误诊的主要原因是延迟改行常规胆囊切除术、延迟翻修、腹腔镜翻修，以及在情况不明时不能恢复常规胆囊切除术。
As laparoscopic cholecystectomy becomes more established, interest in legal aspects increases. The legal cases dealt with in Germany since the introduction of this laparoscopic method in 1989 were studied to determine the legal consequences of complications. Of 40 cases, 16 were judged to be cases of malpractice, whereas 24 were not. The most common cause was injury of the common bile duct (26 cases). Seven of these 26 cases were judged to be cases of malpractice, 2 of these as grave errors. The main reasons for the acceptance of a case as malpractice were delay in changing to conventional cholecystectomy, delayed revision, laparoscopic revisions and not reverting to conventional cholecystectomy in unclear situations.