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Updated: Jul 4, 2026
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Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
Published on: December 30, 2025
Summary
Incorrect-site surgery (ICSS) in neurosurgery is rare but does occur. Key factors include fatigue, time pressure, and emergent cases, with intraoperative imaging crucial for prevention.
Area of Science:
- Neurosurgery
- Patient Safety
- Surgical Error Analysis
Background:
- Incorrect-site surgery (ICSS) represents a significant, avoidable surgical error.
- This study investigates the incidence and contributing factors of ICSS specifically within neurosurgery.
Discussion:
- The study surveyed neurosurgeons on procedure volume and ICSS occurrences, alongside potential determinants.
- Factors identified include fatigue, time pressure, emergent operations, patient anatomy, and inadequate radiographic verification.
Key Insights:
- Estimated ICSS incidence: 4.5/10,000 lumbar discectomies, 6.8/10,000 cervical discectomies, and 2.2/10,000 craniotomies.
- Self-reported determinants highlight the impact of surgeon-related and procedural factors.
- Despite limitations, the findings underscore the reality of neurosurgical ICSS.
Outlook:
- Preventing ICSS requires heightened awareness of identified risk factors.
- Increased utilization of intraoperative imaging is recommended to enhance surgical accuracy.
- Further research may explore more robust methodologies to confirm incidence and refine prevention strategies.