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Robotik Cerrahinin Etik Yönü: Yaşanan Deneyimlere Bakış

Yıl 2024, Cilt: 3 Sayı: 3, 113 - 127, 31.12.2024
https://doi.org/10.5281/zenodo.14576489

Öz

ÖZET
Çağımızın çığır açan teknolojilerinden biri olarak geliştirilen robotik cerrahi teknolojiler, gelişmiş sağlık sistemlerinde etkin ve verimli bir şekilde kullanılmakta ve uygulama sırasında kullanılan robotlar ameliyatın gerçekleştirilmesinde cerraha yardımcı olmaktadırlar. Bu uygulamaların yararlarının yanında, uygulamalardan kaynaklanan riskler ve birçok etik sorun da bulunmaktadır. Bu makale, robotik cerrahinin tıp alanında kullanımının artmasıyla ortaya çıkan etik soruları kapsamlı bir şekilde ele almaktadır. Robotik sistemler, cerrahi süreçlerde yenilikçi çözümler sunarken, hasta güvenliği, mahremiyet, sorumluluk paylaşımı ve hasta özerkliği gibi temel etik ilkeleri de tartışmaya açmaktadır. Robotik cerrahi uygulamalarında, cerrahların bilgi ve beceri düzeyleri, üretici firmaların sorumlulukları ve hastaların bilgilendirilmiş onam süreçleri gibi kritik noktalar, etik değerlendirmelerin odak noktasını oluşturmaktadır. Bu makalede, robotik cerrahinin uygulama sürecinde yaşanan deneyimlerden yola çıkarak etik sorunların sağlık hizmetleri üzerindeki önemli etkileri irdelenmiş ve öneriler sunulmuştur. Sonuç olarak, robotik cerrahinin güvenli ve etik kullanımını sağlamak için sağlık çalışanlarının eğitimi, etik çerçevelerin güncellenmesi ve yasal düzenlemelerin geliştirilmesi gerektiği vurgulanmıştır.

Kaynakça

  • Calo R. Artificial Intelligence Policy: A Roadmap. SSRN Electron J [Internet]. 2017; Available from: https://www.ssrn.com/abstract=3015350
  • Yan M, Zhang M, Kwok APK, Zeng H, Li Y. The Roles of Trust and Its Antecedent Variables in Healthcare Consumers’ Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China. Healthcare [Internet]. 2023 Apr 26;11(9):1232. Available from: https://www.mdpi.com/2227-9032/11/9/1232
  • Elendu C, Amaechi DC, Elendu TC, Jingwa KA, Okoye OK, John Okah M, et al. Ethical implications of AI and robotics in healthcare: A review. Medicine (Baltimore) [Internet]. 2023 Dec 15;102(50):e36671. Available from: https://journals.lww.com/10.1097/MD.0000000000036671
  • Rathnayake AP. Legal and ethical facets of robotic surgery: a suggestion for a guideline. Sri Lanka J Forensic Med Sci Law [Internet]. 2024 Jun 25;15(1):29–33. Available from: https://account.sljfmsl.sljol.info/index.php/sljo-j-sljfmsl/article/view/7947
  • Obermeyer Z, Powers B, Vogeli C, Mullainathan S. Dissecting racial bias in an algorithm used to manage the health of populations. Science (80- ) [Internet]. 2019 Oct 25;366(6464):447–53. Available from: https://www.science.org/doi/10.1126/science.aax2342
  • Pai SN, Jeyaraman M, Jeyaraman N, Nallakumarasamy A, Yadav S. In the Hands of a Robot, From the Operating Room to the Courtroom: The Medicolegal Considerations of Robotic Surgery. Cureus [Internet]. 2023 Aug 17; Available from: https://www.cureus.com/articles/175027-in-the-hands-of-a-robot-from-the-operating-room-to-the-courtroom-the-medicolegal-considerations-of-robotic-surgery
  • Brady AP, Neri E. Artificial Intelligence in Radiology—Ethical Considerations. Diagnostics [Internet]. 2020 Apr 17;10(4):231. Available from: https://www.mdpi.com/2075-4418/10/4/231
  • Chan KS, Kwan JR, Shelat VG. Awareness, perception, knowledge, and attitude toward robotic surgery in a general surgical outpatient clinic in Singapore, Asia. J Clin Transl Res [Internet]. 2022 Jun 29;8(3):224–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/35813899
  • SIQUEIRA-BATISTA R, SOUZA CR, MAIA PM, SIQUEIRA SL. ROBOTIC SURGERY: BIOETHICAL ASPECTS. ABCD Arq Bras Cir Dig (São Paulo) [Internet]. 2016 Dec;29(4):287–90. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000400287&lng=en&tlng=en
  • Naik N, Hameed BMZ, Shetty DK, Swain D, Shah M, Paul R, et al. Legal and Ethical Consideration in Artificial Intelligence in Healthcare: Who Takes Responsibility? Front Surg [Internet]. 2022 Mar 14;9. Available from: https://www.frontiersin.org/articles/10.3389/fsurg.2022.862322/full
  • Fernández-Alemán JL, Señor IC, Lozoya PÁO, Toval A. Security and privacy in electronic health records: A systematic literature review. J Biomed Inform [Internet]. 2013 Jun;46(3):541–62. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1532046412001864
  • Fuertes-Guiró F, Viteri Velasco E. Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring. Acta Bioeth. 2018;24(2):167–79.
  • Mittelstadt BD, Allo P, Taddeo M, Wachter S, Floridi L. The ethics of algorithms: Mapping the debate. Big Data Soc [Internet]. 2016 Dec 1;3(2). Available from: https://journals.sagepub.com/doi/10.1177/2053951716679679
  • Sivarajah U, Wang Y, Olya H, Mathew S. Responsible Artificial Intelligence (AI) for Digital Health and Medical Analytics. Inf Syst Front [Internet]. 2023 Dec 5;25(6):2117–22. Available from: https://link.springer.com/10.1007/s10796-023-10412-7
  • Binda Filho DL, Zaganelli M V. Roboethıcs: Bıoethıcal Aspects Of Robotıc Surgery. Humanıdades E Tecnol. 2020;26(1):149–61.
  • O’Sullivan S, Nevejans N, Allen C, Blyth A, Leonard S, Pagallo U, et al. Legal, regulatory, and ethical frameworks for development of standards in artificial intelligence (AI) and autonomous robotic surgery. Int J Med Robot Comput Assist Surg [Internet]. 2019 Feb 9;15(1). Available from: https://onlinelibrary.wiley.com/doi/10.1002/rcs.1968
  • Vilanilam GC, Venkat EH. Editorial. Ethical nuances and medicolegal vulnerabilities in robotic neurosurgery. Neurosurg Focus [Internet]. 2022 Jan;52(1):E2. Available from: https://thejns.org/view/journals/neurosurg-focus/52/1/article-pE2.xml
  • Buolamwini J, Gebru T. Gender Shades: Intersectional Accuracy Disparities in Commercial Gender Classification. In: Machine Learning Research. 2018. p. 87–91.
  • Darby A, Strum MW, Holmes E, Gatwood J. A Review of Nutritional Tracking Mobile Applications for Diabetes Patient Use. Diabetes Technol Ther [Internet]. 2016 Mar;18(3):200–12. Available from: http://www.liebertpub.com/doi/10.1089/dia.2015.0299
  • Calders T, Verwer S. Three naive Bayes approaches for discrimination-free classification. Data Min Knowl Discov [Internet]. 2010 Sep 27;21(2):277–92. Available from: http://link.springer.com/10.1007/s10618-010-0190-x
  • Suresh H, Guttag J. A Framework for Understanding Sources of Harm throughout the Machine Learning Life Cycle. In: Equity and Access in Algorithms, Mechanisms, and Optimization [Internet]. New York, NY, USA: ACM; 2021. p. 1–9. Available from: https://dl.acm.org/doi/10.1145/3465416.3483305
  • Vvedenskaya E. Bioethical Aspects of Robotics in Surgery. [Internet]. Vol. 12, Jahr. 2021 [cited 2024 Nov 9]. p. 129–39. Available from: https://hrcak.srce.hr/263660
  • Puyol A. Ética, equidad y determinantes sociales de la salud. Gac Sanit. 2012;26(2):178–81.
  • Emanuel EJ, Wachter RM. Artificial Intelligence in Health Care. JAMA [Internet]. 2019 Jun 18;321(23):2281. Available from: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2019.4914
  • Price WN, Cohen IG. Privacy in the age of medical big data. Nat Med [Internet]. 2019 Jan 7;25(1):37–43. Available from: https://www.nature.com/articles/s41591-018-0272-7
  • Yang G-Z, Cambias J, Cleary K, Daimler E, Drake J, Dupont PE, et al. Medical robotics—Regulatory, ethical, and legal considerations for increasing levels of autonomy. Sci Robot [Internet]. 2017 Mar;2(4). Available from: https://www.science.org/doi/10.1126/scirobotics.aam8638
  • Ferrarese A, Pozzi G, Borghi F, Pellegrino L, Di Lorenzo P, Amato B, et al. Informed consent in robotic surgery: quality of information and patient perception. Open Med [Internet]. 2016 Jan 1;11(1):279–85. Available from: https://www.degruyter.com/document/doi/10.1515/med-2016-0054/html
  • Pythan LH. O Consentimento informado como exigência ética e jurídica. In: Clotet J, Feijó A, editors. Bioética: uma visão panorâmica. Porto Elegre: Edipucrs; 2011. p. 135–52.
  • Öztepe Yeşilyurt K. Robotic Surgery Training and the Role of Nurse in the Robotic Surgery Process. In: Oral O, Nalcı AK, editors. New Frontıers in Health Scıences. 1st ed. İzmir: Duvar Yayınevi; 2023. p. 79–92.
  • Akinci D’Antonoli T. Ethical considerations for artificial intelligence: an overview of the current radiology landscape. Diagnostic Interv Radiol [Internet]. 2020 Sep 8;26(5):504–11. Available from: https://dirjournal.org/articles/doi/dir.2020.19279
  • Gumbs AA, Frigerio I, Spolverato G, Croner R, Illanes A, Chouillard E, et al. Artificial Intelligence Surgery: How Do We Get to Autonomous Actions in Surgery? Sensors [Internet]. 2021 Aug 17;21(16):5526. Available from: https://www.mdpi.com/1424-8220/21/16/5526
  • O’Sullivan S, Leonard S, Holzinger A, Allen C, Battaglia F, Nevejans N, et al. Operational framework and training standard requirements for AI‐empowered robotic surgery. Int J Med Robot Comput Assist Surg [Internet]. 2020 Oct 8;16(5):1–13. Available from: https://onlinelibrary.wiley.com/doi/10.1002/rcs.2020
  • Power D. Ethical considerations in the era of AI, automation, and surgical robots: there are plenty of lessons from the past. Discov Artif Intell [Internet]. 2024 Oct 1;4(1):65. Available from: https://link.springer.com/10.1007/s44163-024-00166-9
  • Malik MH, Brinjikji W. Feasibility of telesurgery in the modern era. Neuroradiol J [Internet]. 2022 Aug 27;35(4):423–6. Available from: https://journals.sagepub.com/doi/10.1177/19714009221083141
  • Alejandro Diaz Giron Gidi, Regina Faes-Petersen, Fabiola Nuccio Giordano, Eduardo Villegas Tovar. The road to becoming a certified robotic surgeon. World J Adv Res Rev [Internet]. 2020 Jul 30;7(1):187–96. Available from: https://wjarr.com/content/road-becoming-certified-robotic-surgeon
  • Bahler CD, Sundaram CP. Training in Robotic Surgery. Urol Clin North Am [Internet]. 2014 Nov;41(4):581–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0094014314000792
  • Huffman EM, Rosen SA, Levy JS, Martino MA, Stefanidis D. Are current credentialing requirements for robotic surgery adequate to ensure surgeon proficiency? Surg Endosc [Internet]. 2021 May 6;35(5):2104–9. Available from: https://link.springer.com/10.1007/s00464-020-07608-2
  • Gupta A, Chennatt JJ, Singla T, Rajput D, Bindal V. Training and credentialing in Robotic Surgery in India. J Minim Access Surg [Internet]. 2022 Oct;18(4):497–504. Available from: https://journals.lww.com/10.4103/jmas.jmas_348_21
  • Pai SN, Patro BP, Jeyaraman N, Nallakumarasamy A, Jeyaraman M. Legally Sound, Evidence-Based Informed Consent Form for Total Hip Arthroplasty. Indian J Orthop [Internet]. 2023 Jan 18; Available from: https://link.springer.com/10.1007/s43465-023-00824-7
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Ethical Aspects of Robotic Surgery: A View of Experiences

Yıl 2024, Cilt: 3 Sayı: 3, 113 - 127, 31.12.2024
https://doi.org/10.5281/zenodo.14576489

Öz

Robotic surgical technologies, which have been developed as one of the groundbreaking technologies of our age, are used effectively and efficiently in advanced health systems and the robots used during the application assist the surgeon in performing the operation. In addition to the benefits of these applications, there are also risks and many ethical problems arising from these applications. This article comprehensively addresses the ethical questions that arise with the increasing use of robotic surgery in the medical field. While robotic systems offer innovative solutions in surgical processes, they also raise questions about basic ethical principles such as patient safety, privacy, shared responsibility and patient autonomy. In robotic surgery applications, critical points such as the knowledge and skill levels of surgeons, responsibilities of manufacturers and informed consent processes of patients are the focal points of ethical evaluations. In this article, the important effects of ethical issues on healthcare services are analyzed and recommendations are presented based on the experiences in the implementation process of robotic surgery. In conclusion, it is emphasized that healthcare professionals should be trained, ethical frameworks should be updated and legal regulations should be developed to ensure the safe and ethical use of robotic surgery.

Kaynakça

  • Calo R. Artificial Intelligence Policy: A Roadmap. SSRN Electron J [Internet]. 2017; Available from: https://www.ssrn.com/abstract=3015350
  • Yan M, Zhang M, Kwok APK, Zeng H, Li Y. The Roles of Trust and Its Antecedent Variables in Healthcare Consumers’ Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China. Healthcare [Internet]. 2023 Apr 26;11(9):1232. Available from: https://www.mdpi.com/2227-9032/11/9/1232
  • Elendu C, Amaechi DC, Elendu TC, Jingwa KA, Okoye OK, John Okah M, et al. Ethical implications of AI and robotics in healthcare: A review. Medicine (Baltimore) [Internet]. 2023 Dec 15;102(50):e36671. Available from: https://journals.lww.com/10.1097/MD.0000000000036671
  • Rathnayake AP. Legal and ethical facets of robotic surgery: a suggestion for a guideline. Sri Lanka J Forensic Med Sci Law [Internet]. 2024 Jun 25;15(1):29–33. Available from: https://account.sljfmsl.sljol.info/index.php/sljo-j-sljfmsl/article/view/7947
  • Obermeyer Z, Powers B, Vogeli C, Mullainathan S. Dissecting racial bias in an algorithm used to manage the health of populations. Science (80- ) [Internet]. 2019 Oct 25;366(6464):447–53. Available from: https://www.science.org/doi/10.1126/science.aax2342
  • Pai SN, Jeyaraman M, Jeyaraman N, Nallakumarasamy A, Yadav S. In the Hands of a Robot, From the Operating Room to the Courtroom: The Medicolegal Considerations of Robotic Surgery. Cureus [Internet]. 2023 Aug 17; Available from: https://www.cureus.com/articles/175027-in-the-hands-of-a-robot-from-the-operating-room-to-the-courtroom-the-medicolegal-considerations-of-robotic-surgery
  • Brady AP, Neri E. Artificial Intelligence in Radiology—Ethical Considerations. Diagnostics [Internet]. 2020 Apr 17;10(4):231. Available from: https://www.mdpi.com/2075-4418/10/4/231
  • Chan KS, Kwan JR, Shelat VG. Awareness, perception, knowledge, and attitude toward robotic surgery in a general surgical outpatient clinic in Singapore, Asia. J Clin Transl Res [Internet]. 2022 Jun 29;8(3):224–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/35813899
  • SIQUEIRA-BATISTA R, SOUZA CR, MAIA PM, SIQUEIRA SL. ROBOTIC SURGERY: BIOETHICAL ASPECTS. ABCD Arq Bras Cir Dig (São Paulo) [Internet]. 2016 Dec;29(4):287–90. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000400287&lng=en&tlng=en
  • Naik N, Hameed BMZ, Shetty DK, Swain D, Shah M, Paul R, et al. Legal and Ethical Consideration in Artificial Intelligence in Healthcare: Who Takes Responsibility? Front Surg [Internet]. 2022 Mar 14;9. Available from: https://www.frontiersin.org/articles/10.3389/fsurg.2022.862322/full
  • Fernández-Alemán JL, Señor IC, Lozoya PÁO, Toval A. Security and privacy in electronic health records: A systematic literature review. J Biomed Inform [Internet]. 2013 Jun;46(3):541–62. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1532046412001864
  • Fuertes-Guiró F, Viteri Velasco E. Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring. Acta Bioeth. 2018;24(2):167–79.
  • Mittelstadt BD, Allo P, Taddeo M, Wachter S, Floridi L. The ethics of algorithms: Mapping the debate. Big Data Soc [Internet]. 2016 Dec 1;3(2). Available from: https://journals.sagepub.com/doi/10.1177/2053951716679679
  • Sivarajah U, Wang Y, Olya H, Mathew S. Responsible Artificial Intelligence (AI) for Digital Health and Medical Analytics. Inf Syst Front [Internet]. 2023 Dec 5;25(6):2117–22. Available from: https://link.springer.com/10.1007/s10796-023-10412-7
  • Binda Filho DL, Zaganelli M V. Roboethıcs: Bıoethıcal Aspects Of Robotıc Surgery. Humanıdades E Tecnol. 2020;26(1):149–61.
  • O’Sullivan S, Nevejans N, Allen C, Blyth A, Leonard S, Pagallo U, et al. Legal, regulatory, and ethical frameworks for development of standards in artificial intelligence (AI) and autonomous robotic surgery. Int J Med Robot Comput Assist Surg [Internet]. 2019 Feb 9;15(1). Available from: https://onlinelibrary.wiley.com/doi/10.1002/rcs.1968
  • Vilanilam GC, Venkat EH. Editorial. Ethical nuances and medicolegal vulnerabilities in robotic neurosurgery. Neurosurg Focus [Internet]. 2022 Jan;52(1):E2. Available from: https://thejns.org/view/journals/neurosurg-focus/52/1/article-pE2.xml
  • Buolamwini J, Gebru T. Gender Shades: Intersectional Accuracy Disparities in Commercial Gender Classification. In: Machine Learning Research. 2018. p. 87–91.
  • Darby A, Strum MW, Holmes E, Gatwood J. A Review of Nutritional Tracking Mobile Applications for Diabetes Patient Use. Diabetes Technol Ther [Internet]. 2016 Mar;18(3):200–12. Available from: http://www.liebertpub.com/doi/10.1089/dia.2015.0299
  • Calders T, Verwer S. Three naive Bayes approaches for discrimination-free classification. Data Min Knowl Discov [Internet]. 2010 Sep 27;21(2):277–92. Available from: http://link.springer.com/10.1007/s10618-010-0190-x
  • Suresh H, Guttag J. A Framework for Understanding Sources of Harm throughout the Machine Learning Life Cycle. In: Equity and Access in Algorithms, Mechanisms, and Optimization [Internet]. New York, NY, USA: ACM; 2021. p. 1–9. Available from: https://dl.acm.org/doi/10.1145/3465416.3483305
  • Vvedenskaya E. Bioethical Aspects of Robotics in Surgery. [Internet]. Vol. 12, Jahr. 2021 [cited 2024 Nov 9]. p. 129–39. Available from: https://hrcak.srce.hr/263660
  • Puyol A. Ética, equidad y determinantes sociales de la salud. Gac Sanit. 2012;26(2):178–81.
  • Emanuel EJ, Wachter RM. Artificial Intelligence in Health Care. JAMA [Internet]. 2019 Jun 18;321(23):2281. Available from: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2019.4914
  • Price WN, Cohen IG. Privacy in the age of medical big data. Nat Med [Internet]. 2019 Jan 7;25(1):37–43. Available from: https://www.nature.com/articles/s41591-018-0272-7
  • Yang G-Z, Cambias J, Cleary K, Daimler E, Drake J, Dupont PE, et al. Medical robotics—Regulatory, ethical, and legal considerations for increasing levels of autonomy. Sci Robot [Internet]. 2017 Mar;2(4). Available from: https://www.science.org/doi/10.1126/scirobotics.aam8638
  • Ferrarese A, Pozzi G, Borghi F, Pellegrino L, Di Lorenzo P, Amato B, et al. Informed consent in robotic surgery: quality of information and patient perception. Open Med [Internet]. 2016 Jan 1;11(1):279–85. Available from: https://www.degruyter.com/document/doi/10.1515/med-2016-0054/html
  • Pythan LH. O Consentimento informado como exigência ética e jurídica. In: Clotet J, Feijó A, editors. Bioética: uma visão panorâmica. Porto Elegre: Edipucrs; 2011. p. 135–52.
  • Öztepe Yeşilyurt K. Robotic Surgery Training and the Role of Nurse in the Robotic Surgery Process. In: Oral O, Nalcı AK, editors. New Frontıers in Health Scıences. 1st ed. İzmir: Duvar Yayınevi; 2023. p. 79–92.
  • Akinci D’Antonoli T. Ethical considerations for artificial intelligence: an overview of the current radiology landscape. Diagnostic Interv Radiol [Internet]. 2020 Sep 8;26(5):504–11. Available from: https://dirjournal.org/articles/doi/dir.2020.19279
  • Gumbs AA, Frigerio I, Spolverato G, Croner R, Illanes A, Chouillard E, et al. Artificial Intelligence Surgery: How Do We Get to Autonomous Actions in Surgery? Sensors [Internet]. 2021 Aug 17;21(16):5526. Available from: https://www.mdpi.com/1424-8220/21/16/5526
  • O’Sullivan S, Leonard S, Holzinger A, Allen C, Battaglia F, Nevejans N, et al. Operational framework and training standard requirements for AI‐empowered robotic surgery. Int J Med Robot Comput Assist Surg [Internet]. 2020 Oct 8;16(5):1–13. Available from: https://onlinelibrary.wiley.com/doi/10.1002/rcs.2020
  • Power D. Ethical considerations in the era of AI, automation, and surgical robots: there are plenty of lessons from the past. Discov Artif Intell [Internet]. 2024 Oct 1;4(1):65. Available from: https://link.springer.com/10.1007/s44163-024-00166-9
  • Malik MH, Brinjikji W. Feasibility of telesurgery in the modern era. Neuroradiol J [Internet]. 2022 Aug 27;35(4):423–6. Available from: https://journals.sagepub.com/doi/10.1177/19714009221083141
  • Alejandro Diaz Giron Gidi, Regina Faes-Petersen, Fabiola Nuccio Giordano, Eduardo Villegas Tovar. The road to becoming a certified robotic surgeon. World J Adv Res Rev [Internet]. 2020 Jul 30;7(1):187–96. Available from: https://wjarr.com/content/road-becoming-certified-robotic-surgeon
  • Bahler CD, Sundaram CP. Training in Robotic Surgery. Urol Clin North Am [Internet]. 2014 Nov;41(4):581–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0094014314000792
  • Huffman EM, Rosen SA, Levy JS, Martino MA, Stefanidis D. Are current credentialing requirements for robotic surgery adequate to ensure surgeon proficiency? Surg Endosc [Internet]. 2021 May 6;35(5):2104–9. Available from: https://link.springer.com/10.1007/s00464-020-07608-2
  • Gupta A, Chennatt JJ, Singla T, Rajput D, Bindal V. Training and credentialing in Robotic Surgery in India. J Minim Access Surg [Internet]. 2022 Oct;18(4):497–504. Available from: https://journals.lww.com/10.4103/jmas.jmas_348_21
  • Pai SN, Patro BP, Jeyaraman N, Nallakumarasamy A, Jeyaraman M. Legally Sound, Evidence-Based Informed Consent Form for Total Hip Arthroplasty. Indian J Orthop [Internet]. 2023 Jan 18; Available from: https://link.springer.com/10.1007/s43465-023-00824-7
  • Pai SN, Jeyaraman M, Maffuli N, Jeyaraman N, Migliorini F, Gupta A. Evidence-based informed consent form for total knee arthroplasty. J Orthop Surg Res [Internet]. 2023 Mar 2;18(1):156. Available from: https://josr-online.biomedcentral.com/articles/10.1186/s13018-023-03647-2
  • Chu CM, Agrawal A, Mazloomdoost D, Barenberg B, Dune TJ, Pilkinton ML, et al. Patients’ Knowledge of and Attitude Toward Robotic Surgery for Pelvic Organ Prolapse. Female Pelvic Med Reconstr Surg [Internet]. 2019 Jul;25(4):279–83. Available from: https://journals.lww.com/01436319-201907000-00004
  • Litan RE, Wyden R. How to Regulate Artificial Intelligence. [Internet]. Brookings Institution. 2018. Available from: https://www.brookings.edu/articles/the-three-challenges-of-ai-regulation
  • Pai S. Medico-Legal Issues Related to Hip and Knee Arthroplasty: A Literature Review Including the Indian Scenario. Indian J Orthop [Internet]. 2021 Oct 30;55(5):1286–94. Available from: https://link.springer.com/10.1007/s43465-021-00398-2
  • Parlak Börü Ş. ROBOTİK CERRAHİ MÜDAHALELERDEN DOĞAN HUKUKİ SORUMLULUK. İnönü Üniversitesi Hukuk Fakültesi Derg [Internet]. 2019 Dec 31;10(2):758–75. Available from: http://dergipark.org.tr/tr/doi/10.21492/inuhfd.636507
  • Guerra A, Parisi F, Pi D. Liability for robots I: legal challenges. J Institutional Econ [Internet]. 2021 Nov 25;1– Available from: https://www.cambridge.org/core/product/identifier/S1744137421000825/type/journal_article
  • Tobia K, Nielsen A, Stremitzer A. When Does Physician Use of AI Increase Liability? J Nucl Med [Internet]. 2021 Jan;62(1):17–21. Available from: http://jnm.snmjournals.org/lookup/doi/10.2967/jnumed.120.256032
  • Darweesh DAE-BS, Abdel-Rahman AE-S, Diab NFM. Robotic Surgery on the Verge of Medical Ethics and Liability: Cross-Sectional Study in Ain Shams University Hospitals. Ain Shams J Forensic Med Clin Toxicol [Internet]. 2024 Jan 1;42(1):53–67. Available from: https://ajfm.journals.ekb.eg/article_334008.html
  • Jamjoom AAB, Jamjoom AMA, Thomas JP, Palmisciano P, Kerr K, Collins JW, et al. Autonomous surgical robotic systems and the liability dilemma. Front Surg [Internet]. 2022 Sep 16;9. Available from: https://www.frontiersin.org/articles/10.3389/fsurg.2022.1015367/full
  • Marchant GE, Tournas LM. AI Health Care Liability: From Research Trials to Court Trials. J Health Life Sci Law. 2019;12(2):23–41.
  • Kassahun Y, Yu B, Tibebu AT, Stoyanov D, Giannarou S, Metzen JH, et al. Surgical robotics beyond enhanced dexterity instrumentation: a survey of machine learning techniques and their role in intelligent and autonomous surgical actions. Int J Comput Assist Radiol Surg [Internet]. 2016 Apr 8;11(4):553–68. Available from: http://link.springer.com/10.1007/s11548-015-1305-z
Toplam 50 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Derlemeler
Yazarlar

Kıymet Öztepe Yeşilyurt 0000-0003-4106-8864

Cemile Çelebi 0000-0001-9960-7205

Tuba Çatak 0000-0002-0834-4858

Merve Özsoy Durmaz 0000-0003-2132-9529

Yayımlanma Tarihi 31 Aralık 2024
Gönderilme Tarihi 10 Kasım 2024
Kabul Tarihi 19 Aralık 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 3 Sayı: 3

Kaynak Göster

Vancouver Öztepe Yeşilyurt K, Çelebi C, Çatak T, Özsoy Durmaz M. Robotik Cerrahinin Etik Yönü: Yaşanan Deneyimlere Bakış. Sağlık Bilimleri ve Klinik Araştırmaları Dergisi. 2024;3(3):113-27.