The voice of Holland: Dutch public and patient's opinion favours single-port laparoscopy

S. A. Fransen, E. Broeders, L. Stassen, N. Bouvy

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

INTRODUCTION: Single-port laparoscopy is prospected as the future of minimal invasive surgery. It is hypothesised to cause less post operative pain, with a shorter hospitalisation period and improved cosmetic results. Population- and patient-based opinion is important for the adaptation of new techniques. This study aimed to assess the opinion and perception of a healthy population and a patient population on single-port laparoscopy compared with conventional laparoscopy. MATERIALS AND METHODS: An anonymous 33-item questionnaire, describing conventional and single-port laparoscopy, was given to 101 patients and 104 healthy volunteers. The survey participants (median age 44 years; range 17-82 years) were asked questions about their personal situation and their expectations and perceptions of the two different surgical techniques; conventional multi-port laparoscopy and single-port laparoscopy. RESULTS: A total of 72% of the participants had never heard of single-port laparoscopy before. The most important concern in both groups was the risk of surgical complications. When complication risks remain similar, 80% prefers single-port laparoscopy to conventional laparoscopy. When the risk of complications increases from 1% to 10%, 43% of all participants prefer single-port laparoscopy. A total of 70% of the participants are prepared to receive treatment in another hospital if single-port surgery is not performed in their hometown hospital. The preference for single-port approach was higher in the female population. CONCLUSION: Although cure and safety remain the main concerns, the population and patients group have a favourable perception of single-port surgery. The impact of public opinion and patient perception towards innovative techniques is undeniable. If the safety of the two different procedures is similar, this study shows a positive attitude of both participant groups in favour of single-port laparoscopy. However, solid scientific proof for the safety and feasibility of this new surgical technique needs to be obtained before this procedure can be implemented into everyday practice.
Original languageEnglish
Pages (from-to)119-125
Number of pages7
JournalJournal of minimal access surgery
Volume10
Issue number3
DOIs
Publication statusPublished - 1 Jan 2014

Keywords

  • NOTES
  • single-port laparoscopy
  • questionnaire
  • TRANSLUMINAL ENDOSCOPIC SURGERY
  • CHOLECYSTECTOMY
  • REVOLUTION

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