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A sian‐ C hinese patient perceptions of natural orifice transluminal endoscopic surgery cholecystectomy
Author(s) -
Teoh Anthony Yuen Bun,
Ng Enders Kwok Wai,
Chock Alana,
Swanstrom Lee,
Varadarajulu Shyam,
Chiu Philip Wai Yan
Publication year - 2014
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12192
Subject(s) - medicine , cholecystectomy , natural orifice transluminal endoscopic surgery , general surgery , population , surgery , laparoscopy , environmental health
Background and Aim Patient and physician perceptions of natural orifice transluminal endoscopic surgery ( NOTES ) have been reported for the W estern population. However, whether A sian‐ C hinese patients share the same perspectives as compared to the W estern population is unknown. Methods This was a cross‐sectional survey carried out in the surgical outpatient's clinic at the P rince of W ales H ospital between J une and S eptember 2011. Patients were provided with an information leaflet and asked to complete a questionnaire regarding their perceptions of and preferences for NOTES cholecystectomy. Female patients attending the clinic were given an additional questionnaire regarding attitudes towards transvaginal surgery. Results Two hundred patients were recruited to complete the questionnaire(s) and the male to female ratio was 1:1. One hundred and fourteen patients (57%) preferred to undergo NOTES cholecystectomy for cosmetic reasons ( P = 0.009). Oral and anal routes were both acceptable for NOTES accesses in males andfemales. Forty‐one percent of the female patients would consider transvaginal NOTES . Of these patients, significantly more patients indicated that the reason for choosing transvaginal NOTES was to minimize the risk of hernia ( P = 0.016) and to reduce pain associated with the procedure ( P = 0.017). The risk of complications (84.5%) and the cost of the procedure (58%) were considered the most important aspects when choosing a surgical approach by A sian‐ C hinese patients. Conclusions A sian‐ C hinese preferred NOTES mainly for cosmetic reasons. However, the transvaginal route was less acceptable to females. Significant differences in patient perception on NOTES were observed between A sian‐ C hinese and Western patients.