Skip to main content
Top
Published in: World Journal of Surgery 8/2013

01-08-2013

Ethical Debate: The Ethics of Not Performing Extended Lymphadenectomy in Patients With Gastrointestinal Cancer

Author: Alberto R. Ferreres

Published in: World Journal of Surgery | Issue 8/2013

Login to get access

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.
Literature
1.
go back to reference 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 347:995–999PubMedCrossRef 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 347:995–999PubMedCrossRef
2.
go back to reference 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 345:745–748PubMedCrossRef 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 345:745–748PubMedCrossRef
3.
go back to reference Marshall JC (2006) Surgical decision-making: integrating evidence, inference and experience. Surg Clin North Am 86:201–215PubMedCrossRef Marshall JC (2006) Surgical decision-making: integrating evidence, inference and experience. Surg Clin North Am 86:201–215PubMedCrossRef
4.
go back to reference McCullough LB (1998) John Gregory’s writings on medical ethics and philosophy of medicine. Kluwer Academic Publishers, Dordrecht McCullough LB (1998) John Gregory’s writings on medical ethics and philosophy of medicine. Kluwer Academic Publishers, Dordrecht
5.
go back to reference Black HC (1970) Black′s law dictionary. West Publishing, St. Paul, p 563 Black HC (1970) Black′s law dictionary. West Publishing, St. Paul, p 563
6.
go back to reference McCullough LB, Jones JW, Brody BA (1998) Surgical ethics. Oxford University Press, New York McCullough LB, Jones JW, Brody BA (1998) Surgical ethics. Oxford University Press, New York
7.
go back to reference Kant I (2002) Groundwork for the metaphysic of morals. Yale University Press, New Haven, p 52 Kant I (2002) Groundwork for the metaphysic of morals. Yale University Press, New Haven, p 52
8.
go back to reference Beauchamp TL, Childress JF (1994) Principles of biomedical ethics, 4th edn. Oxford University Press, New York Beauchamp TL, Childress JF (1994) Principles of biomedical ethics, 4th edn. Oxford University Press, New York
9.
go back to reference Smith CM (2005) Origin and uses of “primum non nocere”: above all, do no harm! J Clin Pharmacol 45:371–377PubMedCrossRef Smith CM (2005) Origin and uses of “primum non nocere”: above all, do no harm! J Clin Pharmacol 45:371–377PubMedCrossRef
10.
go back to reference Rawls J (1999) A theory of justice, revised edition. Harvard University Press, Cambridge Rawls J (1999) A theory of justice, revised edition. Harvard University Press, Cambridge
12.
go back to reference Jonsen AR, Siegler M, Winslade WJ (2010) Clinical ethics: a practical approach to ethical decisions in clinical medicine. McGraw-Hill, New York Jonsen AR, Siegler M, Winslade WJ (2010) Clinical ethics: a practical approach to ethical decisions in clinical medicine. McGraw-Hill, New York
13.
go back to reference Kon AA (2006) Answering the question: “Doctor, if this were your child, what would you do?”. Pediatrics 118:393–400PubMedCrossRef Kon AA (2006) Answering the question: “Doctor, if this were your child, what would you do?”. Pediatrics 118:393–400PubMedCrossRef
14.
go back to reference Brock DE (2010) Ethical and value issues in insurance coverage for cancer treatment. Oncologist 15:36–42PubMedCrossRef Brock DE (2010) Ethical and value issues in insurance coverage for cancer treatment. Oncologist 15:36–42PubMedCrossRef
15.
go back to reference 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 196:410–417PubMedCrossRef 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 196:410–417PubMedCrossRef
16.
17.
go back to reference 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 147:738–745PubMedCrossRef 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 147:738–745PubMedCrossRef
18.
go back to reference Pellegrino ED (1994) Patient autonomy and the physician’s ethics. Ann R Coll Physicians Surg Can 27:171–173PubMed Pellegrino ED (1994) Patient autonomy and the physician’s ethics. Ann R Coll Physicians Surg Can 27:171–173PubMed
19.
go back to reference 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 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
20.
go back to reference Jones JW, McCullough LB, Richman BW (2008) The ethics of surgical practice: cases, dilemmas and resolutions. Oxford University Press, New York, p 199 Jones JW, McCullough LB, Richman BW (2008) The ethics of surgical practice: cases, dilemmas and resolutions. Oxford University Press, New York, p 199
Metadata
Title
Ethical Debate: The Ethics of Not Performing Extended Lymphadenectomy in Patients With Gastrointestinal Cancer
Author
Alberto R. Ferreres
Publication date
01-08-2013
Publisher
Springer US
Published in
World Journal of Surgery / Issue 8/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-013-2063-0

Other articles of this Issue 8/2013

World Journal of Surgery 8/2013 Go to the issue