Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer
Background and objectives:. There has been a steady increase in the use of minimally invasive surgery, including conventional multiport laparoscopic surgery (MLS) and single-site laparoscopic surgery (SLS) for colorectal cancer. We aimed to evaluate how important the cosmetic outcome, one of the adv...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-09-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000443 |
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| author | Masaaki Miyo, MD, PhD Ichiro Takemasa, MD, PhD Koichi Okuya, MD, PhD Tatsuya Ito, MD, PhD Emi Akizuki, MD, PhD Tadashi Ogawa, MD, PhD Ai Noda, MD Masayuki Ishii, MD, PhD Ryo Miura, MD Momoko Ichihara, MD Maho Toyota, MD Akina Kimura, MD Mitsugu Sekimoto, MD, PhD |
| author_facet | Masaaki Miyo, MD, PhD Ichiro Takemasa, MD, PhD Koichi Okuya, MD, PhD Tatsuya Ito, MD, PhD Emi Akizuki, MD, PhD Tadashi Ogawa, MD, PhD Ai Noda, MD Masayuki Ishii, MD, PhD Ryo Miura, MD Momoko Ichihara, MD Maho Toyota, MD Akina Kimura, MD Mitsugu Sekimoto, MD, PhD |
| author_sort | Masaaki Miyo, MD, PhD |
| collection | DOAJ |
| description | Background and objectives:. There has been a steady increase in the use of minimally invasive surgery, including conventional multiport laparoscopic surgery (MLS) and single-site laparoscopic surgery (SLS) for colorectal cancer. We aimed to evaluate how important the cosmetic outcome, one of the advantages of SLS, is to patients and whether SLS reflects social needs.
Methods:. We used a web-based questionnaire to survey nonmedical and medical workers for what factors were considered on the assumption that respondents undergo colorectal cancer surgery and that the most important person for them undergoes. Five items (curability, safety, pain, length of hospital stay, and cosmetic outcomes) were compared. After paired photographs before and after SLS and MLS were shown, perceptions of body image and cosmesis were assessed using a visual analog scale.
Results:. This study included a total of 1352 respondents (990 nonmedical and 362 medical). Curability had the highest score (49.9–53.7 points), followed by safety (23.8–24.7 points). The scores for cosmetic outcomes (6.2–7.1 points) were almost equal to those of the length of hospital stay (6.2–7.1 points), which was associated with medical costs and pain (10.0–11.1 points), one of the main reasons for fear of surgery. Participants who were female, younger, and in the nonmedical group placed great importance on cosmetic outcomes. For all questions regarding body image and cosmesis, SLS had superior scores compared with MLS.
Conclusions:. Understandably, curability, and safety were most important in colorectal cancer surgery. However, medical workers should consider cosmetic outcomes, even in malignant cases. |
| format | Article |
| id | doaj-art-7ce778cda5634f4ebe16e7c025cc01a6 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-7ce778cda5634f4ebe16e7c025cc01a62025-01-24T09:18:48ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-09-0153e44310.1097/AS9.0000000000000443202409000-00008Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal CancerMasaaki Miyo, MD, PhD0Ichiro Takemasa, MD, PhD1Koichi Okuya, MD, PhD2Tatsuya Ito, MD, PhD3Emi Akizuki, MD, PhD4Tadashi Ogawa, MD, PhD5Ai Noda, MD6Masayuki Ishii, MD, PhD7Ryo Miura, MD8Momoko Ichihara, MD9Maho Toyota, MD10Akina Kimura, MD11Mitsugu Sekimoto, MD, PhD12From the * Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, JapanFrom the * Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan† Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan‡ Department of Colorectal Surgery, NHO Osaka National Hospital, Osaka, JapanBackground and objectives:. There has been a steady increase in the use of minimally invasive surgery, including conventional multiport laparoscopic surgery (MLS) and single-site laparoscopic surgery (SLS) for colorectal cancer. We aimed to evaluate how important the cosmetic outcome, one of the advantages of SLS, is to patients and whether SLS reflects social needs. Methods:. We used a web-based questionnaire to survey nonmedical and medical workers for what factors were considered on the assumption that respondents undergo colorectal cancer surgery and that the most important person for them undergoes. Five items (curability, safety, pain, length of hospital stay, and cosmetic outcomes) were compared. After paired photographs before and after SLS and MLS were shown, perceptions of body image and cosmesis were assessed using a visual analog scale. Results:. This study included a total of 1352 respondents (990 nonmedical and 362 medical). Curability had the highest score (49.9–53.7 points), followed by safety (23.8–24.7 points). The scores for cosmetic outcomes (6.2–7.1 points) were almost equal to those of the length of hospital stay (6.2–7.1 points), which was associated with medical costs and pain (10.0–11.1 points), one of the main reasons for fear of surgery. Participants who were female, younger, and in the nonmedical group placed great importance on cosmetic outcomes. For all questions regarding body image and cosmesis, SLS had superior scores compared with MLS. Conclusions:. Understandably, curability, and safety were most important in colorectal cancer surgery. However, medical workers should consider cosmetic outcomes, even in malignant cases.http://journals.lww.com/10.1097/AS9.0000000000000443 |
| spellingShingle | Masaaki Miyo, MD, PhD Ichiro Takemasa, MD, PhD Koichi Okuya, MD, PhD Tatsuya Ito, MD, PhD Emi Akizuki, MD, PhD Tadashi Ogawa, MD, PhD Ai Noda, MD Masayuki Ishii, MD, PhD Ryo Miura, MD Momoko Ichihara, MD Maho Toyota, MD Akina Kimura, MD Mitsugu Sekimoto, MD, PhD Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer Annals of Surgery Open |
| title | Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer |
| title_full | Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer |
| title_fullStr | Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer |
| title_full_unstemmed | Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer |
| title_short | Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer |
| title_sort | questionnaire to survey cosmetic outcomes in laparoscopic surgery for colorectal cancer |
| url | http://journals.lww.com/10.1097/AS9.0000000000000443 |
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