Abstract
The ethical debate about performing—or not—extended lymphadenectomy in patients with a gastrointestinal malignancy is approached in this work. It offers a thorough overview of the ethical principles. Problem-solving tools are provided to assist in framing the issues and resolving the conflicts.
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Cuschieri A, Fayers P, Fielding J et al (1996) Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomised controlled surgical trial—The Surgical Cooperative Group. Lancet 347:995–999
Bonenkamp JJ, Songun I, Hermans J et al (1995) Randomized comparison of morbidity after D1 and D2 dissection for gastric cancer in 996 Dutch patients. Lancet 345:745–748
Marshall JC (2006) Surgical decision-making: integrating evidence, inference and experience. Surg Clin North Am 86:201–215
McCullough LB (1998) John Gregory’s writings on medical ethics and philosophy of medicine. Kluwer Academic Publishers, Dordrecht
Black HC (1970) Black′s law dictionary. West Publishing, St. Paul, p 563
McCullough LB, Jones JW, Brody BA (1998) Surgical ethics. Oxford University Press, New York
Kant I (2002) Groundwork for the metaphysic of morals. Yale University Press, New Haven, p 52
Beauchamp TL, Childress JF (1994) Principles of biomedical ethics, 4th edn. Oxford University Press, New York
Smith CM (2005) Origin and uses of “primum non nocere”: above all, do no harm! J Clin Pharmacol 45:371–377
Rawls J (1999) A theory of justice, revised edition. Harvard University Press, Cambridge
Adedeji S, Sokol DK, Palser T et al (2009) Ethics of surgical complications. World J Surg 33:732–737. doi:10.1007/s00268-008-9907-z
Jonsen AR, Siegler M, Winslade WJ (2010) Clinical ethics: a practical approach to ethical decisions in clinical medicine. McGraw-Hill, New York
Kon AA (2006) Answering the question: “Doctor, if this were your child, what would you do?”. Pediatrics 118:393–400
Brock DE (2010) Ethical and value issues in insurance coverage for cancer treatment. Oncologist 15:36–42
Finlayson EV, Birkmeyer JD (2003) Effects of hospital volume on life expectancy after selected cancer operations in older adults: a decision analysis. J Am Coll Surg 196:410–417
Thall PF (2002) Ethical issues in oncology biostatistics. Stat Methods Med Res 11:429–448
Hanna GB, Boshier PR, Knaggs A et al (2012) Improving outcomes after gastroesophageal cancer resection: can Japanese results be reproduced in Western centres? Arch Surg 147:738–745
Pellegrino ED (1994) Patient autonomy and the physician’s ethics. Ann R Coll Physicians Surg Can 27:171–173
Emanuel EJ, Joffe S (2003) Ethics in oncology. In: Kufe DW, Pollock RE, Weichselbaum RR et al (eds) Holland-Frei cancer medicine, 6th edn. BC Decker, Hamilton
Jones JW, McCullough LB, Richman BW (2008) The ethics of surgical practice: cases, dilemmas and resolutions. Oxford University Press, New York, p 199
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Ferreres, A.R. Ethical Debate: The Ethics of Not Performing Extended Lymphadenectomy in Patients With Gastrointestinal Cancer. World J Surg 37, 1821–1828 (2013). https://doi.org/10.1007/s00268-013-2063-0
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DOI: https://doi.org/10.1007/s00268-013-2063-0