Carvalho Gustavo L, Lima Diego Laurentino, Shadduck Phillip P, de Góes Gustavo Henrique Belarmino, Alves de Carvalho Gustavo Barros, Cordeiro Raquel Nogueira, Calheiros Eduarda Migueis Quintas, Cavalcanti Dos Santos Dalmir
University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.
State Severs Hospital, Recife, Brazil.
JSLS. 2019 Jan-Mar;23(1). doi: 10.4293/JSLS.2018.00086.
This study was undertaken to identify which minimally invasive technique medical students prefer for cholecystectomy and what factors determine their decision.
Brazilian medical students watched a video reviewing the advantages and disadvantages of six different surgical approaches to cholecystectomy: open surgery, conventional laparoscopy, mini-laparoscopy (MINI), single-incision laparoscopic surgery, natural-orifice transluminal endoscopic surgery, and robotic surgery. Respondents then answered questions about hypothetical situations in which the participants would be submitted to elective cholecystectomy.
One hundred eleven medical students completed the survey, 60 females (54%) and 51 males (46%). Most students were 19-26 years old. When asked whether they would consider an open cholecystectomy if minimally invasive surgery (MIS) techniques were available, only 9% answered yes. Senior medical students were the least willing to consider open surgery ( = .036). When asked if they would prefer conventional laparoscopy, MINI, or robotic surgery for their cholecystectomy, 85% of the women and 63% of the men chose MINI ( = .025). When asked if they would consider a single-incision laparoscopic surgery or natural-orifice transluminal endoscopic surgery approach, 94 respondents (84%) answered no. When asked to rank which factors they consider the most important when choosing a surgical technique, they ranked safety of the procedure first (58%) and surgeon experience second (30%).
When Brazilian medical students were asked to select a surgical approach for cholecystectomy, most chose MINI. The preference for MINI was strongest amongst female medical students. Both female and male medical students ranked safety as the most important factor.
本研究旨在确定医学生在胆囊切除术中更喜欢哪种微创技术以及哪些因素决定他们的选择。
巴西医学生观看了一段视频，该视频回顾了胆囊切除术六种不同手术方法的优缺点：开放手术、传统腹腔镜手术、迷你腹腔镜手术（MINI）、单切口腹腔镜手术、经自然腔道内镜手术和机器人手术。受访者随后回答了关于假设情况的问题，即参与者将接受择期胆囊切除术。
111名医学生完成了调查，其中60名女性（54%），51名男性（46%）。大多数学生年龄在19 - 26岁之间。当被问及如果有微创手术（MIS）技术，他们是否会考虑开放胆囊切除术时，只有9%的人回答是。高年级医学生最不愿意考虑开放手术（P = 0.036）。当被问及他们的胆囊切除术会更喜欢传统腹腔镜手术、MINI手术还是机器人手术时，85%的女性和63%的男性选择了MINI手术（P = 0.025）。当被问及他们是否会考虑单切口腹腔镜手术或经自然腔道内镜手术方法时，94名受访者（84%）回答否。当被要求对选择手术技术时认为最重要的因素进行排序时，他们将手术安全性排在首位（58%），将外科医生经验排在第二位（30%）。
当巴西医学生被要求选择胆囊切除术的手术方法时，大多数选择了MINI手术。女性医学生对MINI手术的偏好最为强烈。男女医学生都将安全性列为最重要的因素。
