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Aborting a neurosurgical procedure: analyzing the decision factors, with endoscopic third ventriculostomy as a model.
Child's Nervous System ( IF 1.3 ) Pub Date : 2020-03-06 , DOI: 10.1007/s00381-020-04562-1
Jonathan Roth 1 , Shlomi Constantini 1
Affiliation  

Aborting a neurosurgical procedure is a situation in which the surgeon modifies the original surgical plan and decides to stop a procedure without achieving the pre-operative goal. While adhering to predefined goals is important, intra-operative judgment, especially in terms of adjusting the risk/benefit ratio in response to real-time data, may change the balance and lead, in selective scenarios, to aborting of a procedure. The literature regarding aborting a surgical procedure is sparse, with no objective guidelines on when, and how, to make such a decision. Defining "when to abort" is difficult and is influenced by many factors, including unexpected intraoperative findings, the surgeon's surgical experience and perspective, and the patient and family perspective. Aborting a procedure is a decision that must be ultimately determined by the surgical findings and the individual treatment alternatives. The aim of this paper is to discuss the condition of aborting a neurosurgical procedure, using the relatively common endoscopic third ventriculostomy (ETV) as a model procedure prototype.

中文翻译:

中止神经外科手术:以内窥镜第三脑室造口术为模型分析决策因素。

中止神经外科手术的情况是外科医生修改了原始手术计划并决定在不达到术前目标的情况下停止手术。尽管遵守预定目标很重要,但术中判断,尤其是在根据实时数据调整风险/收益比方面,可能会改变平衡并在某些情况下导致程序中止。关于中止外科手术的文献很少,没有关于何时以及如何做出这样的决定的客观指导。定义“何时流产”是困难的,并且受许多因素的影响,包括意外的术中发现,外科医生的手术经验和观点以及患者和家庭的观点。中止手术是一项决定,必须最终由手术结果和个别治疗方案决定。本文的目的是使用相对常见的内窥镜第三脑室造口术(ETV)作为模型程序原型来讨论中止神经外科程序的条件。
更新日期:2020-04-23
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