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Updated: Jun 13, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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[Futility: a concept in routine surgery?].

A M Mols¹, S Reiter-Theil, D Oertli

¹Viszeralchirurgie, Universitätsspital Basel, Schweiz. molsa@uhbs.ch

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|May 4, 2010

Summary

This summary is machine-generated.

Navigating surgical decisions for patients unable to consent, especially those with severe dementia, requires balancing medical needs with patient wishes. Ethical consultation and clear communication are vital for optimal care and preventing staff burnout.

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Area of Science:

Medical Ethics
Surgical Practice
Geriatric Care

Background:

Ethical dilemmas frequently arise in surgery when patients cannot voice their treatment preferences.
The concept of medical futility is particularly relevant in cases involving severe dementia and surgical interventions.
Current definitions of futility lack sufficient clinical applicability.

Observation:

Treating severely demented patients necessitates a careful balance between their medical condition, prognosis, and their documented or presumed wishes.
Engaging with patient relatives is crucial for informed decision-making.
Surgical indications for patients with severe dementia demand individualized assessment.

Findings:

Individualized surgical indications are essential for optimal care in severely demented patients.
Clear communication of treatment goals with relatives is paramount.
Preventing distress and burnout among healthcare staff is a critical consideration.

Implications:

This approach supports patient-centered care in complex ethical scenarios.
Collaboration with medical ethics specialists is recommended for challenging cases.
Improved clinical guidelines are needed for defining and applying the concept of futility in surgery.