[Abstract] [Full Text HTML] [Full Text PDF] (in Japanese / 764KB) [PDF: Members Only]

J.Jpn. Surg. Soc.. 123(4): 325-329, 2022


Feature topic

MEDICAL MALPRACTICE LITIGATION INVOLVING LAPAROSCOPIC SURGERY

1) Department of Pediatric Surgery, Tokyo Women’s Medical University, Tokyo, Japan
2) Department of Medical Safety Management, Tokyo Women’s Medical University, Tokyo, Japan
3) Department of Legal Affairs Office, Tokyo Women’s Medical University, Tokyo, Japan

Osamu Segawa1)2), Hirotaka Otsuka3)

Minimally invasive laparoscopic surgical procedures have been widely accepted in Japan since the 1990s and are now the standard, first-choice options covered by health insurance. Laparoscopic techniques revolutionized surgery from open laparotomy to endoscopic techniques, and even more advances are expected from robotic-assisted surgery in the future. However, as laparoscopic surgery is a special operative method conducted under endoscopic visualization in a narrow limited space with CO2 gas insufflation and requiring various special equipment, specific complications including fatalities have been reported. Although professional knowledge, advanced skills, and experience are necessary for performing safe, secure laparoscopic surgery, obtaining patients’ informed consent after providing concrete risk analysis figures is also important to prevent medical malpractice litigation.


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