Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

Inoue, Shogo; Ikeda, Kenichiro; Kobayashi, Kanao; Kajiwara, Mitsuru; Teishima, Jun; Matsubara, Akio

doi:10.5489/cuaj.1543

Cited by 24 publications

(19 citation statements)

References 24 publications

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“…23 We found no significant differences in satisfaction or cosmesis score between the LESS-A and conventional laparoscopic adrenalectomy (CLA) groups in our previous study. 1 However, in young and female patients, the satisfaction scores were significantly higher in the LESS group than in the conventional group. This result suggests that as young and female patients were less satisfied with CLA and would prefer a novel procedure, they may be ideal candidates for LESS-A.…”

Section: Discussionmentioning

confidence: 88%

“…This result suggests that as young and female patients were less satisfied with CLA and would prefer a novel procedure, they may be ideal candidates for LESS-A. 1 On the other hand, performing LESS-A through an umbilical access is extremely challenging due to the angle of approach and the difficulty in retracting organs. Furthermore, because the distance from the access port to the target tissue is longer in the transumbilical approach than in the subcostal approach, the direction in the transumbilical approach becomes more tangential in LESS-A.…”

Section: Discussionmentioning

confidence: 93%

“…This raises the unanswered question of whether the subcostal approach for LESS-A provides more benefits and greater safety than the transumbilical approach. 1 However, we do not regard cosmesis as more important than the safety in urologic MIS.…”

Section: Discussionmentioning

confidence: 99%

“…1 Since the initial report of urologic laparoendoscopic single-site (LESS) surgery in 2007, 2 the number of LESS surgeries has substantially increased. Over the last few years, there has been increasing enthusiasm and interest in this novel MIS technique.…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, the cosmesis outcome in subcostal LESS-A has been rarely reported. 1 Evaluation of patient perception and interest for MIS at this time would have allowed the surgical community to control its improvement and diffusion and enable safer evolution from open surgery to MIS.…”

Section: Introductionmentioning

confidence: 99%

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Population perception of surgical approach in minimally invasive surgery

Inoue

Kajiwara

Teishima

et al. 2015

CUAJ

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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.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Population perception of surgical approach in minimally invasive surgery

Inoue

Kajiwara

Teishima

et al. 2015

CUAJ

Self Cite

View full text Add to dashboard Cite

show abstract

Laparoscopic Adrenalectomy

Matsuda

Kinoshita

Kawasaki

et al. 2018

Smith's Textbook of Endourology

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Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair

Patterson

Beck

Currie

et al. 2019

British Journal of Surgery

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Background: Inguinal hernia repair is a common low-risk intervention. Patient-reported outcomes (PROs) are being used increasingly as primary outcomes in clinical trials. The aim of this study was to review and meta-analyse the PROs in RCTs comparing laparoscopic versus open inguinal hernia repair techniques in adult patients.Methods: A systematic review and meta-analysis was carried out in accordance with PRISMA guidelines. Only RCTs in peer-reviewed journals were considered. PubMed, Ovid Embase, Scopus and the Cochrane Library were searched. In addition, four trial registries were searched. The search interval was between 1 January 1998 and 1 May 2018. Identified publications were reviewed independently by two authors. The review was registered in the PROSPERO database (CRD42018099552). Bias was assessed using the Cochrane Collaboration risk-of-bias tool.Results: Some 7192 records were identified, from which 58 unique RCTs were selected. Laparoscopic hernia repair was associated with significantly less postoperative pain in three intervals: from 2 weeks to within 6 months after surgery (risk ratio (RR) 0⋅74, 95 per cent c.i. 0⋅62 to 0⋅88), 6 months to 1 year (RR 0⋅74, 0⋅59 to 0⋅93) and 1 year onwards (RR 0⋅62, 0⋅47 to 0⋅82). Paraesthesia (RR 0⋅27, 0⋅18 to 0⋅40) and patient-reported satisfaction (RR 0⋅91, 0⋅85 to 0⋅98) were also significantly better in the laparoscopic repair group. Conclusion:The data and analysis reported in this study reflect the most up-to-date evidence available for the surgeon to counsel patients. It was constrained by heterogeneity of reporting for several outcomes. Summary measures and synthesis of resultsPROs are shown as crude rates and, if appropriate, mean scores. Meta-analysisMeta-analysis was undertaken for each distinct outcome if there were two or more RCTs that examined the same

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Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

Abstract: Cite as: Can Urol Assoc J 2014;8(1-2):e20-5. http://dx

Cited by 24 publications

References 24 publications

Population perception of surgical approach in minimally invasive surgery

Population perception of surgical approach in minimally invasive surgery

Laparoscopic Adrenalectomy

Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair

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