Inoue Shogo, Kajiwara Mitsuru, Teishima Jun, Matsubara Akio
Department of Urology, Hiroshima University Institute of Biomedical and Health Sciences, Hiroshima, Japan.
Can Urol Assoc J. 2015 Jan-Feb;9(1-2):E1-4. doi: 10.5489/cuaj.2116.
The aim of this study was to better understand the impact that public opinion might have on surgical approaches in urologic minimally invasive surgery (MIS).
We collected surveys from 400 participants, including the general population (n = 220) and paramedical staff (n = 180). Participants were anonymous. The survey included 16 questions on the characteristics and preference for the surgical approach if a urologic MIS were performed on them.
The responders preferred the transumbilical approach (57.0%) to the subcostal approach (43.0%). In particular, the preference for a transumbilical approach was significantly higher in females (65.1% vs. 49.3%, p = 0.0014). Similarly, when participants were divided into two groups (<50 years and ≥50 years), the preference for the transumbilical approach was significantly higher in the younger group (60.8% vs. 48.0%, p = 0.0187). Logistic regression analysis revealed that preference for this approach was about 2 times more likely to rise in the females (p = 0.032).
Preference for the transumbilical approach was significantly higher young female respondents. This patient subset most values the cosmetic benefits of transumbilical approach in urologic MIS.
本研究的目的是更好地了解公众舆论可能对泌尿外科微创手术（MIS）手术方式产生的影响。
我们收集了400名参与者的调查问卷，其中包括普通人群（n = 220）和医护辅助人员（n = 180）。参与者均为匿名。该调查问卷包含16个关于如果对他们进行泌尿外科MIS手术，其手术方式的特点和偏好的问题。
与肋下途径（43.0%）相比，应答者更倾向于经脐途径（57.0%）。特别是，女性对经脐途径的偏好明显更高（65.1%对49.3%，p = 0.0014）。同样，当参与者被分为两组（<50岁和≥50岁）时，年轻组对经脐途径的偏好明显更高（60.8%对48.0%，p = 0.0187）。逻辑回归分析显示，女性对这种手术方式的偏好增加的可能性约为两倍（p = 0.032）。
年轻女性应答者对经脐途径的偏好明显更高。这一患者亚组最看重经脐途径在泌尿外科MIS中的美容效果。
