Patient preferences for advanced urological techniques: A guide to future surgical developments?

Authors: A. Rao;  M. Anwar;  M. Rashid;  I. Ahmed;  N. P. Cohen;  S. Mcclinton;  B. K. Somani
Published in: Urol List 2013; 11(1): 50-54


Two novel minimally invasive surgical techniques, Natural Orifice Transluminal Endoscopic Surgery (NOTES) and Laparo Endoscopic Single Site Surgery (LESS) are undergoing rapid development to reduce complications historically associated with open surgery. Our study aimed to analyse Scottish public preferences regarding these new surgical techniques in the hope that this would help inform future development and resource allocation in urological surgery.

Materials and method:
A questionnaire based survey was carried out with members of the general public in North East Scotland. The survey consisted of four questions about surgery in two hypothetical scenarios of kidney disease, and was designed to identify whether the concepts of innovative techniques were acceptable to the general population.

A total of 500 participants took part in the study from a wide variety of social backgrounds. 59% and 47.4% of participants would accept LESS or NOTES for kidney cancer and non-functioning kidney hypothetical scenarios respectively. LESS was highest ranked option (rank mean value 2.0 (kidney tumour) and 1.89 (non-functioning kidney)).

Of the newer surgical techniques, LESS was more preferred than NOTES. The general public more readily accepted the concept of LESS as it was seen as a further development of previously established laparoscopic surgical techniques.

Key words:
LESS, NOTES, laparoscopic, nephrectomy


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