Jie Zhang, Zhong Jia1,2* and Chao-Jun Kong1,2
1Department of Hepatopancreatobililiary Surgery, Hangzhou First People's Hospital, Nanjing Medical University
Affiliated Hangzhou Hospital, PR China
2Department of Hepatopancreatobililiary Surgery, Zhejiang Chinese Medicine University Fourth Affiliated Clinical
Hospital, PR China
- *Corresponding Author:
- Zhong Jia
Department of Hepatopancreatobililiary Surgery
Hangzhou First People's Hospital
Nanjing Medical University Affiliated Hangzhou Hospital &
Zhejiang Chinese Medicine University Fourth Affiliated
Clinical Hospital,
PR China
Accepted on October 31, 2017
Comment
The evolving story of overlapping surgery described by
Michelle et al. [1] indeedly unveiled the tip of the iceberg
mainly due to its popularity and rich return. But it also may
embrace problematic risks in advertent harm. At first glance,
thanks to this instructive and educational analysis on
overlapping surgery, many viewpoints are worthy to be
learned.
On second look, some issues still let readers confusing. For
instance, who on earth often performs overlapping surgery?
Why?
As a matter of fact, the primary surgeons are always
“experienced master” or “skillful craftman”, their technique-art
on critical part of surgery will be favorable to promise “safety
and efficiency” of patients when and if next surgery is
immediate one. But if not immediate, the frequency of
overlapping surgery should be restricted not only to ensure
quality of surgery but also to benefit professional promotion
for inferior trainees. In addition, conflict of interests may be
exposed to public when patient ultimately suffers from
surgery-related complications or even fatal consequence. The key to resolve the dilemma is to identify a detailed rule from
the beginning of overlapping surgery that the primary surgeon
must take charge.
We believe overlapping surgery is reasonable as it allows
making most use of flow of higher technology-art in good
order. And it shines when it comes to rule of law.
References
- Mello MM, Livingston EH. "The evolving story of overlapping surgery." JAMA 2017.