Surgeon perceptions of Natural Orifice Translumenal Endoscopic Surgery (NOTES).
J Gastrointest Surg
; 13(8): 1401-10, 2009 Aug.
Article
em En
| MEDLINE
| ID: mdl-19488822
ABSTRACT
INTRODUCTION:
If proven feasible and safe, Natural Orifice Translumenal Endoscopic Surgery (NOTES) would still need acceptance by surgeons if it were to become a mainstream approach.METHODS:
Three hundred fifty-seven surgeons responded to a preliminary survey describing NOTES and were asked to rate the importance of various surgical considerations and (assuming availability and safety) if they would choose to undergo and/or perform cholecystectomies by NOTES or laparoscopy and why.RESULTS:
The risk of having a complication was considered most important. NOTES was theorized to be riskier and to require greater skill than laparoscopy but to potentially cause less pain and convalescence. Nearly three-fourths (72%) of surgeons expressed interest in NOTES training which correlated with younger age, SAGES membership, minimally invasive surgery specialization, and flexible endoscopic volume. Forty-four percent would like to introduce NOTES cholecystectomy into their practices. Among those not preferring NOTES, 88% would adopt NOTES if data showed improved outcomes over laparoscopy. Finally, only 24% would choose to undergo cholecystectomy themselves by NOTES, believing it to be too new and riskier than laparoscopy.DISCUSSION:
The risk of having a complication is the greatest concern among surgeons, and safety will affect NOTES acceptance.CONCLUSION:
The results of this survey seem to justify more focused future investigations.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atitude do Pessoal de Saúde
/
Endoscopia do Sistema Digestório
Tipo de estudo:
Etiology_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article