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Chapter 24 - Live Televised Surgery

from Part III - Future Developments

Published online by Cambridge University Press:  29 May 2020

By
Eiichi Ishikawa ,
Nobuyuki Sakai ,
Stephen Honeybul  and
Akira Matsumura
Edited by
Stephen Honeybul
Stephen Honeybul
Affiliation:
Sir Charles Gairdner Hospital, Royal Perth and Fiona Stanley Hospitals
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Summary

The use of live televised surgery (LTS) has evolved significantly over recent years. It has usually been organized by a surgical society at a meeting to demonstrate surgical techniques to a large number of members or attendants. This allows examination of surgical techniques, tips, and decisions in a real-time fashion and management of unexpected events such as surgical complications. However, notwithstanding the obvious educational benefits, there has been an increasing awareness that surgery performed under these conditions presents a number of unique ethical considerations. These include patient-centered issues such as privacy, consent, and possible harm, and surgeon-related issues such as impaired performance due to distraction. Finally, there may be participant-related issues regarding the advantages or disadvantages of this type of medical education over and above other types or medical education. Currently there are no specific guidelines for the use of LTS in neurosurgery, and the time may have come for this to be considered.

Keywords

televised surgerylivesurgical educationethics
Type
Chapter
Information
Ethics in Neurosurgical Practice , pp. 245 - 253
Publisher: Cambridge University Press
Print publication year: 2020

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References

Shimizu, S., Han, H. S., Okamura, K., et al. Live demonstration of surgery across international borders with uncompressed high-definition quality. HPB (Oxford). 2007; 9: 398–9.CrossRefGoogle ScholarPubMed
Shimizu, S., Ohtsuka, T., Takahata, S., et al. Remote transmission of live endoscopy over the Internet: Report from the 87th Congress of the Japan Gastroenterological Endoscopy Society. Dig. Endosc. 2016; 28: 92–7.Google Scholar
Roser, F., Pfister, G., Tatagiba, M., et al. Live surgery in neurosurgical training courses: essential infrastructure and technical set-up. Acta Neurochir (Wien) 2013; 155: 541–5.Google Scholar
Philip-Watson, J., Khan, S. A., Hadjipavlou, M., et al. Live surgery at conferences - Clinical benefits and ethical dilemmas. Arab. J. Urol. 2014; 12: 183–6.Google Scholar
Williams, J. B., Mathews, R., D’Amico, T. A. ‘Reality surgery’ – a research ethics perspective on the live broadcast of surgical procedures. J. Surg. Educ. 2011; 68: 58–61.Google Scholar
Dikkers, F. G., Klussmann, J. P., Bernal-Sprekelsen, M., et al. Live surgery broadcast: who is benefiting? Eur. Arch. Otorhinolaryngol. 2016; 273: 1331–3.Google Scholar
Nagata, K. Live surgery at the 33rd Japanese Conference on Surgery for Cerebral Stroke. Surgery for Cerebral Stroke 2005; 33: 58. (Translated from Japanese)Google Scholar
Live surgery at the 33rd Japanese Conference on Surgery for Cerebral Stroke. Available at: http://knagata.kt.fc2.com/ronbun.htm. (Translated from Japanese)Google Scholar
Patient in ‘live’ surgery showing died soon after. 2007. Available at: www.japantimes.co.jp/news/2007/06/07/national/patient-in-live-surgery-showing-died-soon-after/.Google Scholar
Misaki, T., Takamoto, S., Matsuda, H., et al. Guidelines to live presentations of thoracic and cardiovascular surgery. 2007. Available at: http://square.umin.ac.jp/jscvs/eng/live.html.Google Scholar
Miyamoto, Y., Ueda, Y., Sakata, R., et al. Guidelines for live presentations of cardiovascular surgery (revised). Available at: http://square.umin.ac.jp/jscvs/english/live.html.Google Scholar
Brush-up seminar of neuroendovascular therapy. Available at: www.bsnet.umin.net/.Google Scholar
Why this doctor is performing brain surgery on live TV – latest stories. 2015. Available at: https://www.nationalgeographic.com/news/2015/10/151022-brain-surgery-live-deep-brain-stimulation-parkinsons/.Google Scholar
Brain surgery on live TV – helpful or exploitative? STAT. 2015. Available at: www.statnews.com/2015/10/21/brain-surgery-on-live-tv-helpful-or-exploitive/.Google Scholar
Schlachter, L. B. Brain surgery on live TV – first do no harm. 2015. Available at: www.cleveland.com/opinion/index.ssf/2015/11/post_140.html.Google Scholar

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