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Patient perception of single-incision laparoscopic cholecystectomy
Sigi P Joseph1, B Todd Moore2, Geoffrey Slayden3
1Department of Surgery, University of Missouri-Kansas City, Kansas City, MO, USA; Saint Luke's Hospital of Kansas City, Kansas City, MO, USA; Bothwell Regional Hospital, 601 E 14th St, Sedalia, MO 65301, USA. sjoseph@brhc.org.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 9, 2014
Summary
Patients prioritize safety and symptom relief over cosmetic outcomes for gallbladder surgery. Most would accept single-incision laparoscopic cholecystectomy (SILC) if recommended by their surgeon, despite concerns about long-term data.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
- Patient-Reported Outcomes
Background:
- Single-incision laparoscopic cholecystectomy (SILC) is an emerging technique in general surgery.
- Limited data exists on patient perceptions of SILC's risks and benefits compared to traditional laparoscopic cholecystectomy (LC).
Purpose of the Study:
- To investigate patient perspectives on SILC versus LC.
- To understand patient priorities regarding pain, scar appearance, complications, and cost.
Main Methods:
- A questionnaire was administered to 100 patients after providing educational materials on SILC and LC.
- Patients' preferences were assessed based on the importance of postoperative pain, scar appearance, complication risk, and cost.
Main Results:
- 89% of patients expressed interest in SILC if recommended by their surgeon.
- Pain (79%) was highly important, while scar appearance (<40%) was less so.
- Symptom resolution (52%) was the top-ranked priority, followed by pain (20%) and complication risk (19%).
Conclusions:
- Patient priorities for gallbladder disease treatment are safety and symptom relief, not aesthetics.
- Few patients would pay extra for SILC, but most trust surgeon recommendations.
- Patient acceptance of SILC is high when endorsed by their surgeon.
