Which Cholecystectomy do Medical Students Prefer?
| Autor: | Raquel Nogueira Cordeiro, Cavalcanti Dos Santos D, de Góes Ghb, Phillip P. Shadduck, Gustavo Carvalho, Diego Laurentino Lima, Alves de Carvalho Gb, Calheiros Emq |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Laparoscopic surgery
Adult Male Natural Orifice Endoscopic Surgery 050101 languages & linguistics medicine.medical_specialty Students Medical Attitude of Health Personnel medicine.medical_treatment education Clinical Decision-Making Endoscopic surgery Conventional laparoscopy Scientific Paper 050105 experimental psychology Preference Young Adult Robotic Surgical Procedures Choice Minimally invasive surgery Surveys and Questionnaires medicine Humans 0501 psychology and cognitive sciences Robotic surgery Cholecystectomy Surgical approach business.industry General surgery Open surgery Patient Selection 05 social sciences Mini-laparoscopy NOTES Invasive surgery Surgery Female Laparoscopy business Brazil |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 |
| Popis: | Introduction: This study was undertaken to identify which minimally invasive technique medical students prefer for cholecystectomy and what factors determine their decision. Methods: Brazilian medical students watched a video reviewing the advantages and disadvantages of six different surgical approaches to cholecystectomy: open surgery, conventional laparoscopy, mini-laparoscopy (MINI), single-incision laparoscopic surgery, natural-orifice transluminal endoscopic surgery, and robotic surgery. Respondents then answered questions about hypothetical situations in which the participants would be submitted to elective cholecystectomy. Results: One hundred eleven medical students completed the survey, 60 females (54%) and 51 males (46%). Most students were 19–26 years old. When asked whether they would consider an open cholecystectomy if minimally invasive surgery (MIS) techniques were available, only 9% answered yes. Senior medical students were the least willing to consider open surgery (P = .036). When asked if they would prefer conventional laparoscopy, MINI, or robotic surgery for their cholecystectomy, 85% of the women and 63% of the men chose MINI (P = .025). When asked if they would consider a single-incision laparoscopic surgery or natural-orifice transluminal endoscopic surgery approach, 94 respondents (84%) answered no. When asked to rank which factors they consider the most important when choosing a surgical technique, they ranked safety of the procedure first (58%) and surgeon experience second (30%). Conclusion: When Brazilian medical students were asked to select a surgical approach for cholecystectomy, most chose MINI. The preference for MINI was strongest amongst female medical students. Both female and male medical students ranked safety as the most important factor. |
| Databáze: | OpenAIRE |
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