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Related Experiment Video

Updated: Dec 14, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Which Cholecystectomy Technique Would Surgeons Prefer on Themselves?

Diego L Lima1,2, Raquel Nogueira C L Lima3, Dalmir C Dos Santos4

  • 1Faculty of Medical Sciences, University of Pernambuco, Recife, Pernambuco, Brazil.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|July 18, 2020
PubMed
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Surgeons prefer conventional or mini-laparoscopic cholecystectomy for themselves, prioritizing surgeon experience and safety. Less invasive techniques like single-incision and natural orifice surgery were not favored by respondents.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technique Preferences
  • Cholecyscectomy

Background:

  • The field of minimally invasive surgery for cholecystectomy has evolved significantly, offering various techniques.
  • While patient preferences are documented, surgeon perceptions and choices remain less explored.

Purpose of the Study:

  • To survey attending and trainee surgeons on their preferred cholecystectomy technique for personal use.
  • To identify the key factors influencing surgeons' decisions regarding surgical approach.

Main Methods:

  • An online questionnaire was distributed globally to attending and trainee surgeons via Facebook and WhatsApp.
  • A total of 600 surgeons (453 attending, 147 trainees) from diverse global regions participated.

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Last Updated: Dec 14, 2025

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Main Results:

  • Conventional laparoscopy was the preferred technique for cholecystectomy among both trainees (58.5%) and attending surgeons (45.7%).
  • Mini-laparoscopy was also a favored option, with three-fourths of surgeons choosing it or conventional laparoscopy when safety was equal.
  • Single-incision and natural orifice transluminal endoscopic surgery approaches were largely disfavored (91.5% rejection).
  • Surgeon experience (52%) and procedure safety (45%) were identified as the most critical decision-making factors.

Conclusions:

  • Most surgeons surveyed would opt for conventional or mini-laparoscopic cholecystectomy if undergoing the procedure themselves.
  • Advanced, less invasive techniques like single-incision and natural orifice surgery were not preferred by the surveyed surgeons.
  • Surgeon experience and patient safety are paramount considerations when selecting a cholecystectomy technique.