Dr. Robert Liston and the 300% Mortality Surgery
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The Speed Surgeon: Robert Liston’s Innovative Practice and Infamous Blunder
Medical Trivia

Dr. Robert Liston (or Mr. Robert Liston, as surgeons were referred to in England) was born on October 28, 1794, and became one of the leading surgeons in London. He had a 10% mortality rate compared to other surgeons, where 40% was the average. He was ahead of his time, and long before it became standard practice, he washed his hands and instruments, wore clean aprons, and shaved surgical sites.
Later in his career, he was the first surgeon in Europe to use general anesthesia, and he was also known for inventing new surgical techniques and instruments.
Prior to the use of anesthesia, the fastest surgeons were considered the best, as it decreased the time the patient was in pain and the amount of blood loss. Liston was one of the fastest, performing amputations in as little as 30 seconds. In fact, his catchphrase in the operating room to medical students holding stopwatches was, “Time me, gentlemen, time me!”. Unfortunately, that hubris and speed occasionally got him and his patients into trouble.
His most infamous operation was one where three people died. During one of his speed amputations he managed to cut off some of his assistant’s fingers and also cut the tailcoat a bystander was wearing. According to reports, the patient and the assistant later died from infection, and the bystander, who apparently thought he had been stabbed, dropped dead from shock right in the operating room. Thus, Dr. Liston, despite all his success, also became known for having the only recorded 300% mortality surgery in history.
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Resources
Andrew J. Jones AJ, Nesbit Jr. RR, Holsten SB. Time me, gentlemen! The bravado and bravery of Robert Liston. The American College of Surgeons. 2016 Retrieved from: https://www.facs.org/media/nggpiakr/05_liston.pdf
Dzikiewicz K, Howes Fellow PG. Dr. Liston and the Surgery That Killed Three People. December 03, 2018. Retrieved from: https://www.storagetwo.com/blog/2018/12/dr-liston-and-the-surgery-that-killed-three-people
Hawk AJ. ArtiFacts: Built for Speed-Robert Liston's Surgical Technique. Clin Orthop Relat Res. 2021;479(4):679-680. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8083913/
initially posted 5/2024