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Updated: Feb 19, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Informed consent and the intraoperative consult.

Arthur Rawlings1, Phillip Shadduck2

  • 1University of Missouri, Columbia, MO, USA. arthurmdiv@yahoo.com.

Surgical Endoscopy
|February 17, 2026
PubMed
Summary

This statement provides guidance on informed consent during intraoperative consultations. It offers a framework for conducting and evaluating these complex surgical procedures, focusing on ethical patient communication.

Keywords:
EthicsInformed consentIntraoperative consult

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Area of Science:

  • Surgical Ethics
  • Informed Consent
  • Patient Communication

Background:

  • Intraoperative consultations present unique ethical challenges.
  • Previous guidance on informed consent did not address intraoperative complexities.
  • The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Ethics Committee identified a need for specific guidelines.

Purpose of the Study:

  • To develop a framework for informed consent during intraoperative consultations.
  • To provide guidance on the ethical conduct and evaluation of intraoperative consults.
  • To address the complexities of obtaining informed consent in time-sensitive surgical situations.

Main Methods:

  • Development of a consensus statement by the SAGES Ethics Committee.
  • Review and approval by the SAGES Board of Governors.
  • Focus on ethical principles and practical application in surgical settings.

Main Results:

  • A comprehensive framework for intraoperative informed consent is established.
  • Guidance is provided for both the execution and subsequent evaluation of the consultation process.
  • The statement specifically addresses the complexities previously omitted in broader informed consent guidelines.

Conclusions:

  • Effective informed consent during intraoperative consultations is crucial for ethical surgical practice.
  • The provided framework supports clinicians in navigating complex ethical scenarios.
  • Adherence to these guidelines enhances patient understanding and ethical patient care during surgery.