大肠癌腹腔镜手术美容效果调查问卷

Masaaki Miyo, Ichiro Takemasa, K. Okuya, Tatsuya Ito, Emi Akizuki, Tadashi Ogawa, Ai Noda, Masayuki Ishii, Ryo Miura, Momoko Ichihara, Maho Toyota, Akina Kimura, Mitsugu Sekimoto
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引用次数: 0

摘要

微创手术(包括传统多孔腹腔镜手术(MLS)和单部位腹腔镜手术(SLS))在结直肠癌治疗中的应用稳步增加。我们旨在评估作为 SLS 优势之一的美容效果对患者的重要性,以及 SLS 是否反映了社会需求。 我们使用网络问卷调查了非医务工作者和医务工作者,假设受访者接受了结直肠癌手术,并且对他们来说最重要的人接受了手术,那么他们会考虑哪些因素。对五个项目(可治愈性、安全性、疼痛、住院时间和美容效果)进行了比较。在展示了 SLS 和 MLS 手术前后的配对照片后,使用视觉模拟量表对身体形象和外观进行了评估。 这项研究共包括 1352 名受访者(990 名非医疗人员和 362 名医疗人员)。耐久性得分最高(49.9-53.7 分),其次是安全性(23.8-24.7 分)。美容效果的得分(6.2-7.1 分)与住院时间的得分(6.2-7.1 分)几乎相等,而住院时间与医疗费用和疼痛(10.0-11.1 分)相关,疼痛是恐惧手术的主要原因之一。女性、年轻和非医疗组的参与者非常重视美容效果。在有关身体形象和外观的所有问题上,SLS 的得分均高于 MLS。 可以理解的是,在结直肠癌手术中,治愈性和安全性是最重要的。不过,即使是恶性病例,医务工作者也应考虑美容效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer
There has been a steady increase in the use of minimally invasive surgery, including conventional multiport laparoscopic surgery (MLS) and single-site laparoscopic surgery (SLS) for colorectal cancer. We aimed to evaluate how important the cosmetic outcome, one of the advantages of SLS, is to patients and whether SLS reflects social needs. We used a web-based questionnaire to survey nonmedical and medical workers for what factors were considered on the assumption that respondents undergo colorectal cancer surgery and that the most important person for them undergoes. Five items (curability, safety, pain, length of hospital stay, and cosmetic outcomes) were compared. After paired photographs before and after SLS and MLS were shown, perceptions of body image and cosmesis were assessed using a visual analog scale. This study included a total of 1352 respondents (990 nonmedical and 362 medical). Curability had the highest score (49.9–53.7 points), followed by safety (23.8–24.7 points). The scores for cosmetic outcomes (6.2–7.1 points) were almost equal to those of the length of hospital stay (6.2–7.1 points), which was associated with medical costs and pain (10.0–11.1 points), one of the main reasons for fear of surgery. Participants who were female, younger, and in the nonmedical group placed great importance on cosmetic outcomes. For all questions regarding body image and cosmesis, SLS had superior scores compared with MLS. Understandably, curability, and safety were most important in colorectal cancer surgery. However, medical workers should consider cosmetic outcomes, even in malignant cases.
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