[Legal questions with regard to laparoscopic cholecystectomy].
The tasks of the "Gutachterkommission für ärztliche Behandlungsfehler bei der Arztekammer Nordrhein", which clarifies complaints of medical malpractice and lack of medical information in a formal procedure as well as regularly evaluates its important stock of expert decisions in order to avoid further damages, are described by example of the laparoscopic cholecystectomy. In recent years only few cases of negligent information were to confirm, but cases of medical malpractice were above average. Legal principles and examination proceedings are discussed generally and with regard to several categories of neglect (takeover fault, contraindications, violation of abdominal organs, violation of bile ducts). Though violation of abdominal organs several times was considered a not severely evitable complication, violation of bile duct was not. When in doubt about the anatomic situation intraoperative radiologic cholangiography, and--if still uncertain after this--conversion to laparotomy would be indicated to avoid violation of the common bile duct.
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D000007:Abdominal Injuries / Q000209:etiology; D001652:Bile Ducts / Q000293:injuries; D017081:Cholecystectomy, Laparoscopic; D000075202:Contraindications; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D005858:Germany; D006801:Humans; D008318:Malpractice / Q000331:legislation & jurisprudence*; D008487:Medical History Taking
Rechtsfragen im Zusammenhang mit der laparoskopischen Cholezystektomie.