Population perception of surgical approach in minimally invasive surgery

Abstract

Introduction: The aim of this study was to better understand the impact that public opinion might have on surgical approaches in urologic minimally invasive surgery (MIS). Methods: We collected surveys from 400 participants, including the general population (n = 220) and paramedical staff (n = 180). Participants were anonymous. The survey included 16 questions on the characteristics and preference for the surgical approach if a urologic MIS were performed on them. Results: The responders preferred the transumbilical approach (57.0%) to the subcostal approach (43.0%). In particular, the preference for a transumbilical approach was significantly higher in females (65.1% vs. 49.3%, p = 0.0014). Similarly, when participants were divided into two groups (<50 years and >50 years), the preference for the transumbilical approach was significantly higher in the younger group (60.8% vs. 48.0%, p = 0.0187). Logistic regression analysis revealed that preference for this approach was about 2 times more likely to rise in the females (p = 0.032). Conclusions: Preference for the transumbilical approach was significantly higher young female respondents. This patient subset most values the cosmetic benefits of transumbilical approach in urologic MIS.

Comparison of Chief Surgeons’ and Assistants’ Feelings of Fatigue Between Laparoendoscopic Single‐site and Conventional Laparoscopic Adrenalectomy

“…Several studies have found that surgeons believe that the injury or pain they suffer may negatively affect surgical outcomes [27, 28] and that their physical complaints might affect their choice of surgical approach [5]. In fact, one report has shown that, although LESS surgery is often requested by patients, surgeons may not select this approach because of its technical difficulties [7, 9]. Therefore, the number of LESS procedures has not increased to meet demand.…”

“…It has been performed for various urological diseases, and studies have shown that, compared with conventional laparoscopic surgery, there is less pain, shorter hospital stays, and excellent cosmetic outcomes [8]. A previous study on the effect of the patient's opinion on the approach selected for urologic MIS found that young women prefer MIS such as transumbilical LESS surgery [9]. However, LESS surgery is technically challenging, which limits its widespread application [10].…”

The creation of an endovascular exit through the vessel wall using a minimally invasive working channel in order to reach all human organs

“…This is beneficial in most circumstances leading to shorter in‐hospital care, minimizing trauma to patients and reducing risk of complications . It should be further noted that patients tend to choose the minimally invasive options if presented with the choice . Reasonably, the potential uses for a minimally invasive therapy where a working channel is created from the blood stream directly to the parenchyma would be applicable in hard to reach organs, for example, in the central nervous system, the heart, the pancreas, the liver, the kidneys and parts of the mediastinum.…”