지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 960 - 967 (8page)
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Purpose: Natural orifice transluminal endoscopic surgery (NOTES) is a new method of accessing intracavitary organs in order to minimize pain by avoiding incisions in the body wall. The aim of this study is to determine patients’ acceptance of NOTES in Korea and to compare their views about laparoscopic surgery and NOTES for benign and malignant diseases. Materials and Methods: The target number of total subjects was calculated to be 540. The subjects were classified into 18 sub-groups based on age groups, gender, and history of prior surgery. The questionnaire elicited information about demographic characteristics, medical check-ups, diseases, endoscopic and surgical histories, marital status and childbirth, the acceptance of NOTES, and the preferred routes for NOTES. In addition, the subjects chose laparoscopic surgery or NOTES for a hypothetical cholecystectomy and rectal cancer surgery, and responded to questions regarding the acceptable complication rate of NOTES, the appropriate cost of NOTES, and the reason(s) why they did not select NOTES. Results: 486 of 540 patients (90.0%) who agreed to participate in this study completed the questionnaire. NOTES was preferred by the following patients:elderly; a history of treatment due to a disease; having regular check-ups; and a history of an endoscopic procedure (p<0.05). The most preferred route for NOTES was the stomach (67.1%). Eighty-four percent of the patients choosing NOTES responded that the complication rate of the new surgical method should be the same or lower than laparoscopic surgery. Vague anxiety over a new surgical method was the most common reason why NOTES was not selected in benign and malignant diseases (64% and 73%), respectively. Conclusion: Patients appear to be interested in the potential benefits of NOTES and would embrace it if their concerns about safety are met. We believe that qualified surgical endoscopists can meet these safety concerns, and that NOTES development has the potential to flourish.
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참고문헌 (13)
참고문헌 신청
Bucher P / 2011 / Population perception of surgical safety and body image trauma: a plea for scarless surgery? / Surg Endosc 25 : 408 ~ 415
Fuchs KH / 2011 / Transgastric small bowel resection and anastomosis: a survival study / Surg Endosc 25 : 1791 ~ 1796
Kalloo AN / 2004 / Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity / Gastrointest Endosc 60 : 114
Marescaux J / 2007 / Surgery without scars: report of transluminal cholecystectomy in a human being / Arch Surg 142 : 823 ~ 826
Peterson CY / 2009 / Women’s positive perception of transvaginal NOTES surgery / Surg Endosc 23 : 1770 ~ 1774
Fuchs KH / 2011 / Transgastric small bowel resection and anastomosis: a survival study / Surg Endosc 25 : 1791 ~ 1796
Kalloo AN / 2004 / Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity / Gastrointest Endosc 60 : 114
Marescaux J / 2007 / Surgery without scars: report of transluminal cholecystectomy in a human being / Arch Surg 142 : 823 ~ 826
Peterson CY / 2009 / Women’s positive perception of transvaginal NOTES surgery / Surg Endosc 23 : 1770 ~ 1774
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