The 'right' way is not always popular: comparison of surgeons’ perceptions during laparoscopic cholecystectomy for acute cholecystitis among experts from Japan, Korea and Taiwan
| Autor: | Hiroki Sunagawa, Kuo Hsin Chen, Goro Honda, Naohiro Sata, Shinji Norimizu, Tsann Long Hwang, Tadahiro Takada, Masahiro Yoshida, Yoshiaki Mizuguchi, Masakazu Yamamoto, Manabu Watanabe, Toshiki Rikiyama, Masaru Miyazaki, Taizo Hibi, Yuta Abe, Shyr Ming Sheen-Chen, De Chuan Chan, In Sang Song, Itaru Endo, Ryota Higuchi, Kenji Suzuki, Satoshi Shinya, Yukio Iwashita, Naoyuki Toyota, Tatsuo Yamakawa, Takeyuki Misawa, Nobuyasu Kano, Yutaka Takeda, Yi Yin Jan, Yoshiharu Nakamura, Masahiro Ito, Cheng Chung Wu, Yan Shen Shan, Hee Chul Yu, Ji Hoon Kim, Hiroshi Hasegawa, Seigo Kitano, Dong Sup Yoon, Taizo Kimura, Naoki Matsumura, Sung Su Yun, Chen Guo Ker, Tetsuji Ohyama, Shigetoshi Yamada, Junichi Shindoh, Wayne Shih Wei Huang, In Seok Choi, Keun Soo Ahn, Goro Watanabe, Seong Ho Choi, Kunitoshi Nakagawa, Yuichi Yamashita, Yuichi Nagakawa, Takeshi Gocho, Hiromi Tokumura, Fumihiko Miura, Jin-Young Jang, Yoo-Seok Yoon, Song Cheol Kim, Go Wakabayashi, Akiko Umezawa, Ho-Seong Han |
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| Rok vydání: | 2017 |
| Předmět: |
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medicine.medical_specialty Internationality Attitude of Health Personnel Partial cholecystectomy media_common.quotation_subject Cholecystitis Acute Operative Time Blood Loss Surgical Taiwan Intraoperative cholangiography Pilot survey 030230 surgery 03 medical and health sciences Postoperative Complications 0302 clinical medicine Japan Surveys and Questionnaires Perception Republic of Korea medicine Acute cholecystitis Humans Experience level Laparoscopic cholecystectomy media_common Surgeons Response rate (survey) Laparotomy Hepatology business.industry General surgery Surgery Cross-Sectional Studies Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Female Patient Safety business |
| Zdroj: | Journal of Hepato-Biliary-Pancreatic Sciences. 24:24-32 |
| ISSN: | 1868-6974 |
| DOI: | 10.1002/jhbp.417 |
| Popis: | Background Generally, surgeons’ perceptions of surgical safety are based on experience and institutional policy. Our recent pilot survey demonstrated that the acceptable duration of surgery and criteria for open conversion during laparoscopic cholecystectomy (LC) vary among workplaces. Methods A web-based survey was distributed to 554 expert LC surgeons in Japan, Korea, and Taiwan. The questionnaire covered LC experience, safety measures and recognition of landmarks, decision-making regarding conversion to open/partial cholecystectomy and the implications of this decision. Overall responses were compared among nations, and then stratified by LC experience level (lifetime cases 200–499, 500–999, and ≥1000). Results The response rate was 92.6% (513/554); 67 surgeons with ≤199 LCs were excluded, and responses from 446 surgeons were analyzed. We observed significant differences among nations on almost all questions. Differences that remained after stratification by LC experience were on questions related to acceptable duration of surgery, adoption rates of intraoperative cholangiography, the “critical view of safety” technique, identification of Rouviere's sulcus, recognition of the SS-Inner layer theory, and intraoperative judgment to abandon conventional LC. Conclusions Even among experts, surgeons’ perceptions during LC are workplace-dependent. A novel grading system of surgical difficulty and standardized LC procedures are paramount to generate high-level evidence. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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