Patient perception of natural orifice transluminal endoscopic surgery as a technique for cholecystectomy

Varadarajulu, Shyam; Tamhane, Ashutosh; Drelichman, Ernesto R.

doi:10.1016/j.gie.2007.09.053

Cited by 108 publications

(105 citation statements)

References 16 publications

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“…Recent surveys have shown that patients' favor NOTES cholecystectomy compared with standard laparoscopic cholecystectomy [7,8]. This may urge us to consider the importance of body image trauma associated with surgical procedure and look for ''scarless'' surgical procedure [9].…”

Section: Discussionmentioning

confidence: 99%

Single Port Access Laparoscopic Cholecystectomy (with video)

et al. 2008

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Background Single port access (SPA) surgery is a rapidly evolving field due to the complexity of NOTES (natural orifice translumenal endoscopic surgery). SPA combines the cosmetic advantage of NOTES and possibility to perform surgical procedure with standard laparoscopic instruments. We report a technique of umbilical SPA cholecystectomy using standard laparoscopic instruments and complying with conventional surgical principle and technique of minimally invasive cholecystectomy. Methods Preliminary, prospective experience of SPA cholecystectomy in 11 patients (median age, 46 (range, 27-63) years) scheduled for cholecystectomy was evaluated. Diagnoses for cholecystectomy were: symptomatic gallbladder lithiasis (n = 7), previous acute cholecystitis (n = 3), and biliary pancreatitis (n = 1). Results SPA cholecystectomy was feasible in all patients (median body mass index, 24 (range, 20-34) kg/m 2 ) who were scheduled for preliminary experience using conventional laparoscopic instruments. Median operative time was 52 (range, 40-77) minutes. Intraoperative cholangiography was performed in all patients, except one, and was considered normal. No peroperative or postoperative complications were recorded. Median hospital stay was less than 24 h.Conclusions SPA cholecystectomy is feasible and seems to be safe when performed by experienced laparoscopic surgeons using standard laparoscopic instrumentation. SPA cholecystectomy may be safer than the NOTES approach at this time. It has to be determined whether this approach would benefit patients, other than cosmesis, compared with standard laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

Single Port Access Laparoscopic Cholecystectomy (with video)

et al. 2008

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“…14,17,19,21 In the previously cited study by Peterson et al, most women who were unwilling to undergo transvaginal surgery were most concerned with the potential for infectious complications. Not surprisingly, young and nulliparous women were more often concerned about dyspareunia and fertility after transvaginal surgery.…”

Section: What Are Patients' Explicit Concerns About Notes?mentioning

confidence: 98%

“…These findings appear to be in contrast to those obtained from previously conducted investigations, all of which were conducted in the United States. 14,16,17 Australian women therefore appear to be less convinced about the potential benefits of NOTES procedures than their…”

Section: Comment Which Patients Would Prefer Notes and Why?mentioning

confidence: 99%

“…NOTES was preferred by only 15% of participants, which may contradict previously reported surveys. 14,15,17,19 In all of these studies, NOTES was offered as the sole scarless option to laparoscopy, and population acceptance of LESS was not investigated. In the following survey, the authors focused their attention on a specific procedure, ie, cholecystectomy.…”

Section: Notes Versus Less: Comparative Analysismentioning

confidence: 99%

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Public Perception of “Scarless” Surgery: A Critical Analysis of the Literature

Autorino

White

Gettman

et al. 2012

Urology

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Evidence relating to the perception and view of patients and physicians on natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) was scrutinized. A comprehensive literature search was performed through PubMed. A total of 18 studies were included in the analysis. Patients demonstrated interest in scarless surgery, with a preference for LESS over NOTES. Safety and efficacy remain the key factors in the decision-making process of patients. With more information about the safety and reproducibility of LESS and NOTES, and with improved educational efforts, patients and physicians alike may feel more comfortable in widespread application of scarless surgery. UROLOGY 80: 495-502, 2012.

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“…Surveys for cholecystectomy have shown that patients would generally favor NOTES to standard laparoscopy unless the risk is significantly greater, confirming the importance of cosmesis [16]. It is unlikely that this also holds true for the colorectal cancer cohort of patients.…”

Section: Integrating Novel Technologies and Engineering And Sciences Resementioning

confidence: 97%