From the New York Times account:
“Bryan declined to have the surgery and said he wished to return to Alabama for further medical care, but the Health Department said Dr. Shaknovsky ‘continued to pressure’ Mr. Bryan. Mr. Bryan eventually agreed to have the surgery in Florida and the procedure was scheduled for the afternoon of Aug. 21, 2024, the Health Department said.
“Colleagues in the operating room ‘had concerns that Dr. Shaknovsky did not have the skill level to safely perform this procedure’…
“The signs of trouble came almost immediately. Dr. Shaknovsky began the procedure as a laparoscopy but switched to open surgery because he could not clearly see the organs, having failed to document that Mr. Bryan had a distended colon that would have partly obstructed the view… Staff members in the operating room later reported that Mr. Bryan’s colon “burst out of the abdominal cavity” after Dr. Shaknovsky opened his abdomen, and they began suctioning blood to clear visibility…
“Dr. Shaknovsky then took a surgical stapling device to a vessel that he planned to cut to remove the organ, and fired the stapler. Mr. Bryan immediately began hemorrhaging and went into cardiac arrest, with blood pouring out as nurses and other medical staff members attempted to suction it. They began an emergency transfusion and tried to revive him, the report said. Dr. Shaknovsky did not ask his colleagues for a clamp or cauterizer to quell the bleeding, and instead continued to dissect Mr. Bryan’s organ ‘even though the abdomen was full of blood’…He eventually removed Mr. Bryan’s liver, thinking it was his spleen.
“…After Dr. Shaknovsky removed the organ, ‘The staff looked at the readily identifiable liver on the table and were shocked when Dr. Shaknovsky told them that it was a spleen’… One staff member felt sick to their stomach.”
Here is what I don’t understand. The doctors and nurses in the operating room had doubts about the surgeon’s competence. He began botching the procedures from the beginning. There was every reason to think the surgeon was incompetent, or drunk, or otherwise unfit to operate, yet nobody in the operating room had the guts and sense of responsibility to intervene.
Dr. Shaknovsky isn’t the only one who should be indicted.
Ethics Alarms 
The hospital that allowed him to perform surgery after his history of botched surgeries (yes, this was not his first time) should also be indicted.
Get ready for more of this…a lot more. The med schools have gone woke. They are teaching that medical care must be allocated with equity first (sorry, we have to treat at least 2 more African-American heart patients until we can see you) and they have made the boards pass-fail. That means…how do you decide who gets the good residencies? With no scores, you pick whoever you want. Do it with equity, and you don’t know their skill levels. That is medical training today.
I’m sorry, it is time for all these private monopolies on vital services to go. We need voter control over this stuff, the ‘experts’ have proven untrustworthy. This means medicine, law, education, etc need standard state licensure, just like hairdressers. No more of these partisan private organizations.