商品描述
This book offers a comprehensive exploration of the ethical complexities unique to surgical practice. Grounded in the foundational principles of autonomy, beneficence, non-maleficence, and justice, it adapts each to the high-stakes, often urgent nature of surgical decision-making. The historical evolution of medical ethics--from ancient philosophy to modern bioethics--sets the stage for a nuanced discussion of autonomy, particularly the role of informed consent in respecting patient self-determination. The text addresses challenges in emergency contexts and ethically sensitive areas like euthanasia, abortion, and assisted reproduction. Beneficence and non-maleficence are examined in depth, especially where they conflict--such as in experimental or high-risk surgeries, end-of-life care, and organ transplantation. These scenarios demand careful balancing of patient welfare, risk, and emotional well-being. Justice is presented as a call to action: surgeons must advocate for equitable healthcare access, especially in resource-limited settings and amid technological advances that risk widening disparities. Confidentiality and informed consent are emphasized as pillars of trust, even in team-based or emergency environments. The book also scrutinizes the ethics of surgical research, highlighting the need for transparency and caution in industry partnerships and experimental procedures that may compromise patient autonomy.
By integrating deontological and bioethical frameworks, the author provides surgeons with a flexible yet principled guide to navigating evolving ethical landscapes. The work encourages integrity, compassion, and patient-centered care, positioning surgeons as moral agents committed to justice and human dignity in a complex medical world.
商品描述(中文翻譯)
本書全面探討了外科實踐中獨特的倫理複雜性。基於自主性、行善、不傷害和正義的基本原則，將這些原則調整為外科決策中高風險且常常緊急的性質。醫學倫理的歷史演變——從古代哲學到現代生物倫理學——為自主性進行細緻的討論奠定了基礎，特別是知情同意在尊重病人自我決定中的角色。文本還探討了緊急情境中的挑戰以及安樂死、墮胎和輔助生殖等倫理敏感領域。
行善和不傷害被深入檢視，特別是在它們衝突的情況下——例如在實驗性或高風險手術、臨終關懷和器官移植中。這些情境要求仔細平衡病人的福祉、風險和情感健康。正義被提出作為行動的呼籲：外科醫生必須倡導公平的醫療保健獲取，特別是在資源有限的環境中，以及在技術進步可能擴大差距的情況下。
保密性和知情同意被強調為信任的支柱，即使在團隊合作或緊急環境中。本書還審視了外科研究的倫理，強調在行業合作和可能妨礙病人自主權的實驗程序中需要透明和謹慎。
通過整合義務論和生物倫理框架，作者為外科醫生提供了一個靈活但有原則的指南，以應對不斷演變的倫理環境。該著作鼓勵誠信、同情和以病人為中心的護理，將外科醫生定位為致力於正義和人類尊嚴的道德代理人，面對複雜的醫療世界。
作者簡介
Professor Claudio Salvatore Cinà is a highly esteemed vascular surgeon recognized for his contributions to clinical practice, research, and education. He previously served as a Full Clinical Professor of Surgery at the University of Toronto and as Associate Professor of Vascular Surgery at McMaster University. Currently, he holds the position of Senior Consultant in Vascular and Endovascular Surgery at Policlinico Morgagni-Centro Cuore in Catania, Italy. Dr. Cinà's medical training spans prestigious institutions, including the University of Toronto, Harvard University, Baylor University, and McMaster University. He is specialized in both General Surgery and Vascular Surgery and holds a Master's degree in Health Research Methodology. His clinical expertise includes complex open surgeries, minimally invasive procedures, and advanced endovascular treatments. In Canada, Dr. Cinà was instrumental in developing two groundbreaking programs: the Throaco-Abdominal Aneurysm Treatment (TATA) program and the Endovascular Research and Technology Development Program (SRITE). These initiatives advanced the treatment of complex aortic conditions and established him as a leader in the field. Notably, he was the first in Canada to perform endovascular repairs of thoracoabdominal aneurysms using fenestrated stent grafts. A prolific researcher, Dr. Cinà has authored over 160 peer-reviewed publications, seven books, and multiple book chapters. His research areas include cerebrovascular surgery, aortic disease, and the development of innovative endovascular techniques. He has received multiple accolades for his contributions, including awards for excellence in scientific review. As an educator, Dr. Cinà has mentored numerous surgeons and fellows globally. His commitment to teaching has been recognized with honors, including the "Mentor of the Year" award. His significant achievements have earned him distinctions such as the Grand Cavaliere of the Order of Malta, underscoring his impact on the field of vascular surgery.
作者簡介(中文翻譯)
克勞迪奧·薩爾瓦多·奇納教授是一位備受尊敬的血管外科醫生，以其對臨床實踐、研究和教育的貢獻而聞名。他曾擔任多倫多大學的全職臨床外科教授以及麥克馬斯特大學的血管外科副教授。目前，他在意大利卡塔尼亞的Morgagni-Centro Cuore醫院擔任血管及內血管外科的高級顧問。奇納醫生的醫學訓練涵蓋了多所知名機構，包括多倫多大學、哈佛大學、貝勒大學和麥克馬斯特大學。他專精於一般外科和血管外科，並擁有健康研究方法論的碩士學位。他的臨床專長包括複雜的開放手術、微創手術和先進的內血管治療。在加拿大，奇納醫生在開發兩個開創性計劃方面發揮了重要作用：胸腹主動脈瘤治療（TATA）計劃和內血管研究與技術開發計劃（SRITE）。這些計劃推進了複雜主動脈疾病的治療，並使他成為該領域的領導者。值得注意的是，他是加拿大首位使用帶窗支架進行胸腹主動脈瘤內血管修復的醫生。作為一位多產的研究者，奇納醫生已發表超過160篇經過同行評審的出版物、七本書籍和多個書章。他的研究領域包括腦血管外科、主動脈疾病以及創新內血管技術的開發。他因其貢獻而獲得多項榮譽，包括科學評審卓越獎。作為一名教育者，奇納醫生在全球指導了眾多外科醫生和研究員。他對教學的承諾獲得了多項榮譽，包括“年度導師”獎。他的重大成就使他獲得了馬爾他騎士團的特級騎士等榮譽，突顯了他對血管外科領域的影響。
