Protocol establishing the end-of-life surgery indication

Dr. Mihaela Leşe1,2
1Spitalul Judeţean de Urgenţă “Dr Constantin Opriş”, Baia Mare, România, 2Chirurgie generală

Primit: 25.09.2021 • Acceptat pentru publicare: 5.10.2021

Abstract

Although more and more attention is being paid to end-of-life care, there are many gaps in the usefulness of surgery performed in the last year of life. Many patients, relatives, but also surgeons, wonder if surgery is indicated in a patient at the end of life, who suffers from an incurable disease in the last stage of evolution. The fear of not doing something too little or something too risky for the patient, is due to the few studies in the literature in terms of mortality, morbidity, but especially the quality of life of patients at the end of the disease. The protocol for establishing the surgical indication in these patients is the result of the little data from the specialized literature, but also of the need to establish the therapeutic attitude in the case of some patients who may need indication of surgical treatment.

Keywords: palliative surgical care, palliative surgery, end of life, quality of life, mortality

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