Investigation of the Surgeons, Patients, and MES’s Opinion about the Best Approach to the Incidental Findings during Laparoscopic Bariatric Surgery: A Single-Center Study
نویسندگان
1 General Surgery Department, Tehran University of Medical Sciences, Tehran, Iran
2 General Surgery Department, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 General Surgery Department, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 General Surgery Department, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 General Surgery Department, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6 Clinical Research Development Center & Critical Care Quality Improvement Research Center, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
7 General Surgery Department, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
8 Clinical Research Development Center, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
doi
10.22034/ircmj.2025.451412.1122چکیده
Background and Objectives: With the increasing number of bariatric surgeries (BS), ethical issues are increasing. This study aimed to evaluate the challenges of medical ethics and best decisions in patients with incidental findings during laparoscopic BS. Methods: This study was a hybrid research including qualitative and quantitative approach investigating patients’, surgeons’, and medical ethics specialists’ (MES’s) opinions about six scenarios explaining six different incidental findings during BS, conducted during 2020-2021, in Tehran, Iran. Results: 63 participants (38 female, and 25 male), with a mean age of 34.76±7.16 years including 45 patients, 12 surgeons, and 6 MESs participated in the study. While in malignant or suspicious cases, the opinions of these groups were aligned, in benign scenarios there were some differences among surgeons’ views and MES and patients’ opinions. Conclusion: In conclusion, our study has demonstrated that the majority of surgeons would rather perform the agreed surgical plan in case of benign/non-lethal findings. The surgeons would also terminate the surgery in inconclusive/ highly suspicious states.
