過去10年間における泌尿器科領域の医療訴訟の考察

Evaluation of 27 law suits in urological clinics this decade in Japan

　この10年間の泌尿器科領域における医療訴訟の現状を知るために，判例雑誌に掲載された29判例，27症例を分析した。27症例中21症例で医療側敗訴となり，うち5例は説明義務違反のみを問われた。賠償金の最高額は約9,700万円，最低額は20万円であった。内視鏡手術に関しては，トラブル時には直ちに開腹手術に移行するべきとの複数の判決が出ている。手術や処置に対しては十分なインフォームド・コンセントが求められており，文書化が必要である。

To realize the tendency of judgments for medical malpractice in recent urologic department, 29 judgments (27 clinical cases) of law suit in urologic clinics published on all journals of judgments in Japan this decade were selected and evaluated. All were civil suits, and no criminal cases. All were classified into 4 categories, 6 cases of endoscopic surgery, 6 cases of dialysis, and 4 cases of renal transplantation and the others. 21 judgments were found guilty, and the maximal payment was ￥91,620,000, and the minimal payment was ￥200,000. Of endoscopic surgeries, some sentences require that, the surgeon should stop it and begin on the open surgery as soon as he could, when some troubles happen and it's beyond your own power. And recently some judgments said that a clinician should give a lot of information on diseases and therapies to his patients before performance. On accountabilities for patients about operation or examination, the documents that give good informed consent to patients should be presented to patients and his families.（Rinsho Hinyokika 62：35-40, 2008）