Hamabe Atsushi, Takemasa Ichiro, Hata Taishi, Mizushima Tsunekazu, Doki Yuichiro, Mori Masaki
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
World J Surg. 2016 Jul;40(7):1748-54. doi: 10.1007/s00268-016-3414-4.
The use of reduced port surgery (RPS) is increasing in the field of colorectal surgery. It is considered to offer advantages over conventional multiport surgery (MPS) in terms of decreased invasiveness and superior cosmesis. However, to date there has been no study that evaluates patient satisfaction after undergoing RPS for colorectal diseases. Herein, we present a questionnaire-based study to address this issue.
Questionnaires were sent by mail to 216 patients who underwent RPS and 145 who underwent MPS. Patient's satisfaction with cosmesis and body image after colorectal surgery was assessed using a validated Body Image Questionnaire (BIQ) and Photo Series Questionnaire (PSQ).
A total of 76.9 % (166/216) of the RPS patients and 70.3 % (102/145) of the MPS patients returned the questionnaires. BIQ scores gradually improved after surgery, and were more positive overall in the RPS group compared to the MPS group. RPS patients marked significantly better PSQ scores than MPS patients (P < 0.05). In RPS subset analysis, patients with single port surgery (SPS) rated better PSQ scores than patients with SPS with additional port insertion (P < 0.05).
We find that RPS, especially SPS, enhances patient satisfaction by reducing abdominal wall trauma. This new advantage of RPS may prove valuable in its consideration as an option in laparoscopic colorectal surgery.
在结直肠手术领域，减少切口手术（RPS）的应用正在增加。与传统多切口手术（MPS）相比，它被认为在减少侵袭性和改善美容效果方面具有优势。然而，迄今为止，尚无研究评估结直肠疾病患者接受RPS后的满意度。在此，我们开展了一项基于问卷调查的研究来解决这一问题。
通过邮件向216例接受RPS的患者和145例接受MPS的患者发放问卷。使用经过验证的身体形象问卷（BIQ）和照片系列问卷（PSQ）评估患者对结直肠手术后美容效果和身体形象的满意度。
RPS组共有76.9%（166/216）的患者和MPS组70.3%（102/145）的患者回复了问卷。手术后BIQ评分逐渐改善，与MPS组相比，RPS组总体上更积极。RPS患者的PSQ评分明显高于MPS患者（P<0.05）。在RPS亚组分析中，单孔手术（SPS）患者的PSQ评分高于额外增加切口的SPS患者（P<0.05）。
我们发现RPS，尤其是SPS，通过减少腹壁创伤提高了患者满意度。RPS的这一新优势可能在其作为腹腔镜结直肠手术选择的考量中具有重要价值。
