不同人群对胆囊切除手术方式的选择

目的研究不同人群对不同胆囊切除手术方式的选择,明确患者对新技术的需求,从而能够据此结果进行相关的临床试验、手术训练以及技术、器械的革新。方法 2010年6月～2011年3月,在不同人群中进行无记名问卷调查,将开腹手术（open surgery,OS）、腹腔镜手术（laparoscopic sugery,LS）、经脐内镜手术（transumbilical endoscopic surgery,TUES）、经自然腔道内镜手术（natural orifice transluminal endoscopic surgery,NOTES）4种胆囊切除手术方式供医生、护士、住院患者选择。结果 200份问卷中,有效问卷198份。其中患者128人（65%）,医生及护士各35人（18%）。LS是最受欢迎的术式,被96人（48%）接受,其次是TUES 84人（42%）,只有12人（6%）选择NOTES,6人（3%）选择开腹手术。结论 LS作为胆囊切除的＂金标准＂,较之传统开腹手术,已被大多数人接受。目前新兴的TUES胆囊切除术,由于美观等因素,更易为女性、年轻人欢迎。由于安全性、可行性及其他潜在因素,NOTES尚难以被患者所接受。

Population Preferences for Various Approaches of Cholecystectomy

Objective To evaluate population perception of various ways of cholecystectomy,so that to understand patients’ demands,which is a base for further clinical trials,surgical training,and innovation of technology and equipment.Methods Since June 2010 through March 2011,an anonymous questionnaire was given to patients,doctors and nurses,who were requested to select the preferred approach among open surgery(OS),laparoscopic surgery(LS),transumbilical endoscopic surgery(TUES),and natural orifice transluminal endoscopic surgery(NOTES).Results Totally 198 questionnaires were valid among the 200,including 128 from patients(65%),and 35(18%) from doctors and nurses.LS was the most popular approach,which was accepted by 96 people(49%),followed by TUES,chosen by 84 people(42%).Only 12 people(6%) chose NOTES,and six people(3%) chose OS.Conclusions As the "gold standard",LS has been accepted by most people.TUES,as a new technology,is accepted by female and young people,due to its good cosmetic outcomes.NOTES is still not an ideal option for safety,feasibility and other potential reasons.