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Public perception of LESS surgery and NOTES.

Sharona B Ross1, Jonathan M Hernandez, Steffanie Sperry

  • 1The Center for Digestive Disorders, Tampa General Hospital, Tampa, FL, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|December 14, 2011
PubMed
Summary
This summary is machine-generated.

Public acceptance of minimally invasive surgeries like laparoendoscopic single-site (LESS) and natural orifice transluminal endoscopic surgery (NOTES) hinges on safety, pain, and recovery. Cosmesis is a secondary concern, especially for older or heavier individuals.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Public perception of advanced surgical techniques is crucial for adoption.
  • Laparoendoscopic single-site (LESS) surgery and natural orifice transluminal endoscopic surgery (NOTES) represent significant advancements.
  • Understanding patient attitudes towards these procedures is essential for their integration into clinical practice.

Purpose of the Study:

  • To assess public attitudes towards LESS and NOTES.
  • To investigate the influence of age, gender, and obesity on these attitudes.
  • To identify key factors driving patient acceptance or rejection of these novel surgical approaches.

Main Methods:

  • A validated questionnaire was administered to 152 citizens.
  • Pearson correlations were used to analyze relationships between queried items.
  • Data were analyzed using descriptive statistics, presenting scores as median and mean ± SD.

Main Results:

  • Patient acceptance of LESS surgery is contingent on equivalent or minimal increases in risk, recovery time, pain, operative time, and cost.
  • Older and heavier individuals prioritized reduced risk, pain, and operative/recovery time over cosmetic outcomes.
  • While 39% would consider NOTES, it requires no additional risk, pain, operative time, or cost, with older individuals showing more favorability.

Conclusions:

  • Patient acceptance of LESS and NOTES is primarily driven by safety, pain, and recovery metrics.
  • Cosmetic benefits are less influential, particularly for older or heavier populations.
  • Minimizing risk, pain, and recovery time are paramount considerations for patients choosing surgical interventions.