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Dergiler / Çukurova Anestezi ve Cerrahi Bilimler Dergisi / 2025 / Cilt: 8 Sayı: 4

Ameliyathaneden Mahkeme Salonuna: Yanlış Taraf Cerrahisi

From the Operating Room to the Courtroom: Wrong-Site Surgery

Zafer Liman(KARABÜK ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-8689-9808
Abdülkadir İzci(YÜKSEK İHTİSAS ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-7831-1592
Uğur Kayhan(YÜKSEK İHTİSAS ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-5604-8255
Sayfa
413–416
Yayın Tarihi
2025-12-31
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Olguların %45,5’i ortopediye ait olup, alt ekstremite (%31,8) ve üst ekstremite (%22,7) en sık etkilenen bölgelerdi.

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Amaç & Hipotez:Giriş: Türkiye’de yanlış taraf cerrahisi olgularının yüksek yargı kararları ve basına yansıyan haberler üzerinden analiz edilmesi ve hasta güvenliği ile hukuki boyutlarının ortaya konulmasıdır.
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Temel Bulgular & Veri:Gereç ve Yöntem: 2010-2025 yıllarını kapsayan taramada lexpera.com.tr ve news.google.com kullanılarak toplam 22 olgu incelendi.
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Sonuç & Katkı:Bulgular: Olguların %45,5’i ortopediye ait olup, alt ekstremite (%31,8) ve üst ekstremite (%22,7) en sık etkilenen bölgelerdi.
🔬Tür:Deneysel Tarla Denemesi
📍Kapsam:2010-2025 Verileri
⚙️Değişkenler:Yanlış Taraf Cerrahisi · Hasta Güvenliği · Cerrrahi Güvenlik Protokolü

Özet

Giriş: Türkiye’de yanlış taraf cerrahisi olgularının yüksek yargı kararları ve basına yansıyan haberler üzerinden analiz edilmesi ve hasta güvenliği ile hukuki boyutlarının ortaya konulmasıdır. Gereç ve Yöntem: 2010-2025 yıllarını kapsayan taramada lexpera.com.tr ve news.google.com kullanılarak toplam 22 olgu incelendi. Tanımlayıcı istatistikler SPSS v21.0 ile analiz edildi. Bulgular: Olguların %45,5’i ortopediye ait olup, alt ekstremite (%31,8) ve üst ekstremite (%22,7) en sık etkilenen bölgelerdi. Yanlış taraf cerrahisi en fazla kamu hastanelerinde görüldü (%45,5). Üst mahkemelerce hekim lehine yerel kararların hasta lehine bozulması dikkati çekti. Sonuç: Yanlış taraf cerrahisi önlenebilir bir hasta güvenliği sorunu olmasına rağmen ciddi klinik ve hukuki riskler barındırmaktadır. Protokollerin yanı sıra etkin uygulama, düzenli denetim, zorunlu eğitimler ve güvenlik kültürünün güçlendirilmesi önerilmektedir.

Abstract

Introduction: Wrong-site surgery (WSS) is considered a “never event” and represents a serious and fully preventable patient safety issue. Despite international protocols, these incidents continue to occur, leading to significant clinical, legal, and social consequences. This study aimed to analyze wrong-site surgery cases reported in Supreme Court decisions and the media in Türkiye, identifying their characteristics and legal implications from a forensic medicine perspective. Material Methods: A retrospective review was conducted using the legal database lexpera.com.tr and Google News search engine. Keywords such as “wrong-side surgery” and equivalent Turkish terms were used to identify cases between 2010 and 2025. A total of 22 cases meeting inclusion criteria were analyzed. Descriptive statistics were performed using SPSS v21.0. Results: Among the 22 cases, 45.5% involved orthopedic surgery, followed by ophthalmology and general surgery (each 13.6%). The most common surgical sites were lower (31.8%) and upper extremities (22.7%). Wrong-site surgery was most frequently reported in public hospitals (45.5%), followed by university/research hospitals (31.8%). Legal analysis revealed that several decisions initially favoring physicians at local courts were overturned in Supreme Courts, mostly in favor of patients, indicating significant medico-legal risk. Conclusion: WSS remains a critical patient safety issue in Türkiye, particularly in orthopedic and high-volume surgical settings. Findings suggest that existing protocols alone are insufficient; effective implementation, regular audits, mandatory time-out compliance, and strengthening safety culture through structured training programs are essential for prevention.

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Bu Makaleye Atıf Yap

Liman, Z., İzci, A., Kayhan, U. (2025). Ameliyathaneden Mahkeme Salonuna: Yanlış Taraf Cerrahisi. Çukurova Anestezi ve Cerrahi Bilimler Dergisi, Cilt: 8 Sayı: 4, 413–416. https://doi.org/10.36516/jocass.1795640

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