Buda Alessandro, Cuzzocrea Marco, Montanelli Luca, Passoni Paolo, Bargossi Lorena, Baldo Romina, Locatelli Luca, Milani Rodolfo
Department of Obstetrics and Gynecology, University of Milano-Bicocca, San Gerardo Hospital, Via Pergolesi 33, 20900 Monza, Italy.
Diagn Ther Endosc. 2013;2013:578392. doi: 10.1155/2013/578392. Epub 2013 Nov 25.
Laparoscopic surgery has been demonstrated as a valid approach in almost all gynaecologic procedures including malignant diseases. Benefits of the minimally invasive approach over traditional open surgery have been well demonstrated in terms of minimal perioperative morbidity and reduced postoperative pain and hospital stay duration, with consequent quick postoperative recovery (Medeiros et al. (2009)). Single-port surgery resurfaced in gynaecology surgery in recent years and renewed interest among other surgeons and within the industry to develop this field (Podolsky et al. (2009)). Patient satisfaction is emerging as an increasingly important measure of quality which represents a complex entity that is dependent on patient demographics, comorbidities, disease, and, to a large extent, patient expectations (Tomlinson and Ko (2006)). It can be broadly thought to refer to all relevant experiences and processes associated with health care delivery (Jackson et al. (2001)). In this study we aim to compare single-port surgery (SPS) with conventional laparoscopy in terms of patient satisfaction using the EORTC IN-PATSAT32 questionnaire. We also evaluate the main surgical outcomes of both minimally invasive approaches.
腹腔镜手术已被证明是几乎所有妇科手术(包括恶性疾病手术)中的一种有效方法。与传统开放手术相比,微创方法在围手术期发病率极低、术后疼痛减轻和住院时间缩短方面的优势已得到充分证明,从而实现了术后快速恢复(梅代罗斯等人,2009年)。近年来,单孔手术在妇科手术中重新出现,并重新引起了其他外科医生和业内人士对该领域发展的兴趣(波多尔斯基等人,2009年)。患者满意度正日益成为衡量医疗质量的重要指标,它是一个复杂的概念,取决于患者的人口统计学特征、合并症、疾病情况,并且在很大程度上还取决于患者的期望(汤姆林森和科,2006年)。它大致可以被认为是指与医疗服务提供相关的所有相关经历和过程(杰克逊等人,2001年)。在本研究中,我们旨在使用欧洲癌症研究与治疗组织(EORTC)的IN-PATSAT32问卷,从患者满意度方面比较单孔手术(SPS)和传统腹腔镜手术。我们还评估了这两种微创方法的主要手术结果。