Analysis and outcomes of wrong site thyroid surgery
| Autor: | Rocco Domenico Alfonso Bellantone, Paolo Miccoli, Carmela De Crea, Carlo Enrico Ambrosini, Marco Raffaelli, Daqi Zhang, Gianlorenzo Dionigi, Gabriele Materazzi, Antonio Ieni, Henning Dralle, Ettore Caruso |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Wrong site
medicine.medical_specialty RD1-811 Wrong procedure Medizin Thymectomy instead of thyroidectomy Thyroid Gland Case Report Case presentation 03 medical and health sciences Patient safety 0302 clinical medicine Wrong patient medicine Humans Robotic surgery 030212 general & internal medicine Malpractice Medical errors Thymectomy WSS Wrong side Wrong-site surgery Medical Errors Legal action health care economics and organizations business.industry Thyroid General Medicine humanities Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Expert opinion cardiovascular system business circulatory and respiratory physiology |
| Zdroj: | BMC Surgery, Vol 21, Iss 1, Pp 1-6 (2021) BMC Surgery |
| Popis: | Background In thyroid surgery, wrong-site surgery (WSS) is considered a rare event and seldom reported in the literature. Case presentation This report presents 5 WSS cases following thyroid surgery in a 20-year period. We stratified the subtypes of WSS in wrong target, wrong side, wrong procedure and wrong patient. Only planned and elective thyroid surgeries present WSS cases. The interventions were performed in low-volume hospitals, and subsequently, the patients were referred to our centres. Four cases of wrong-target procedures (thymectomies [n = 3] and lymph node excision [n = 1] performed instead of thyroidectomies) and one case of wrong-side procedure were observed in this study. Two wrong target cases resulting additionally in wrong procedure were noted. Wrong patient cases were not detected in the review. Patients experienced benign, malignant, or suspicious pathology and underwent traditional surgery (no endoscopic or robotic surgery). 40% of WSS led to legal action against the surgeon or a monetary settlement. Conclusion WSS is also observed in thyroid surgery. Considering that reports regarding the serious complications of WSS are not yet available, these complications should be discussed with the surgical community. Etiologic causes, outcomes, preventive strategies of WSS and expert opinion are presented. |
| Databáze: | OpenAIRE |
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