Danish Surgeons' Views on Minimally Invasive Surgery

Edwards, Hellen; Jørgensen, Lars Nannestad
January 2014
Journal of Laparoendoscopic & Advanced Surgical Techniques;Jan2014, Vol. 24 Issue 1, p1
Academic Journal
Background and Aim: Advancements in minimally invasive surgery have led to increases in popularity of single-incision laparoscopic surgery (SILS) and natural orifice translumenal surgery (NOTES®; American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) due to their postulated benefits of better cosmesis, less pain, and quicker recovery. This questionnaire-based study investigated Danish surgeons' attitudes toward these new procedures. Subjects and Methods: A 26-item questionnaire was developed and distributed electronically via e-mail to a total of 1253 members of The Danish Society of Surgeons and The Danish Society of Young Surgeons. Results: In total, 352 (approximately 30%) surgeons completed the questionnaire, 54.4% were over 50 years of age, and 76.6% were men. When choosing surgery, the most important factors taken into consideration were the risk of complication and short convalescence, whereas the least important factors were cosmesis and option of local anaesthesia. If the surgeons themselves were to undergo cholecystectomy, 35.5% would choose SILS, and 14.5% would choose NOTES provided that the risk was equal to traditional laparoscopy (3%). The fraction of surgeons willing to learn SILS and NOTES was 44.6% and 32.7%, respectively. The desire to learn was higher among less experienced and surgically active surgeons. Of the responders, 68.8% considered SILS and 43.2% considered NOTES would become standard techniques for cholecystectomy within 6 years. Conclusions: The importance of risk of complications has not surprisingly a high priority among surgeons in this questionnaire. Why this is has to be investigated further before implementing SILS and NOTES as standard of care.


Related Articles

  • Danish Surgeons' Views on Minimally Invasive Surgery. Edwards, Hellen; Jørgensen, Lars Nannestad // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2013, Vol. 23 Issue 12, p1 

    Background and Aim: Advancements in minimally invasive surgery have led to increases in popularity of single-incision laparoscopic surgery (SILS) and natural orifice translumenal surgery (NOTES®; American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American...

  • Laparoscopic surgery of the spleen through single umbilical incision. Pędziwiatr, Michał; Matłok, Maciej; Major, Piotr; Kuliś, Daria; Budzyński, Andrzej // Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i;2013, Vol. 2013 Issue 1, p8 

    Introduction: Single incision transumbilical laparoscopic procedures are the next step in development of minimally invasive surgery. Recent studies prove that the new technique can be a safe alternative to multiport laparoscopy; therefore it is becoming more and more popular. Aim: We present our...

  • Commentary on "SILS and NOTES cholecystectomy: a tailored approach". Smith, C. Daniel // Journal of Laparoendoscopic & Advanced Surgical Techniques;Jul/Aug2010, Vol. 20 Issue 6, p514 

    Background: Natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS) have been proposed as different solutions to further minimize the invasiveness of laparoscopy. In this article, we present our experience with NOTES and SILS over the last few...

  • Usefulness of a Flexible Port for Natural Orifice Transluminal Endoscopic Surgery by the Transrectal and Transvaginal Routes. Ohdaira, Takeshi; Ikeda, Keiichi; Tajiri, Hisao; Yasuda, Yoshikazu; Hashizume, Makoto // Diagnostic & Therapeutic Endoscopy;2010, p1 

    We developed a flexible port for NOTES which allows the use of conventional forceps for laparoscope-assisted surgery without change. The port is not affected by the location of the through hole in the gastrointestinal tract or vagina which elicits a problem in conventional NOTES, and its length...

  • Prospective randomized clinical trial comparing laparoscopic cholecystectomy and hybrid natural orifice transluminal endoscopic surgery (NOTES) (NCT00835250). Noguera, José; Cuadrado, Angel; Dolz, Carlos; Olea, José; García, Juan // Surgical Endoscopy;Dec2012, Vol. 26 Issue 12, p3435 

    Background and study aims: Natural orifice transluminal endoscopic surgery (NOTES) is a technique still in experimental development whose safety and effectiveness call for assessment through clinical trials. In this paper we present a three-arm, noninferiority, prospective randomized clinical...

  • Role of Magnetic Anchors During Laparoendoscopic Single Site Surgery and NOTES. Raman, Jay D.; Scott, Daniel J.; Cadeddu, Jeffrey A. // Journal of Endourology;May2009, Vol. 23 Issue 5, p781 

    AbstractEvolution of minimally invasive techniques has generated an impetus in the surgical community to reduce the invasiveness of laparoscopic surgery. To achieve this goal, surgeons are either limiting the number of transabdominal trocars using laparoendoscopic single site surgery (LESS) or...

  • Minilaparoskopie. Brinkmann, L.; Lorenz, D. // Der Chirurg;May2011, Vol. 82 Issue 5, p419 

    In recent years scarless surgery (axillo-bilateral-breast aproach [ABBA], natural orifice transluminal endoscopic surgery [NOTES], single-port surgery) has gained importance in order to improve postoperative outcome in laparoscopic surgery. As part of this effort minilaparoscopic surgery might...

  • Single-port transumbilical laparoscopic appendectomy: 43 consecutive cases. Hyung Jin Kim; Jae Im Lee; Yoon Suk Lee; In Kyu Lee; Jung Hyun Park; Sang Kuon Lee; Won Kyung Kang; Hyeon-Min Cho; Young Kyuong You; Seong Taek Oh // Surgical Endoscopy;Nov2010, Vol. 24 Issue 11, p2765 

    Background: In this modern era of minimally invasive surgery, cosmesis and early recovery are strongly emphasized. To reduce abdominal trauma and improve cosmesis, surgeons have adopted a single-port laparoscopic appendectomy for patients with acute appendicitis. Methods: From August to December...

  • A comprehensive review of single-incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) techniques for cholecystectomy. Chamberlain, Ronald Scott; Sakpal, Sujit Vijay // Journal of Gastrointestinal Surgery;Sep2009, Vol. 13 Issue 9, p1733 

    Introduction: Surgery of the gallbladder has evolved tremendously over the last century. Laparoscopic cholecystectomy is the gold standard for gallbladder removal and the most common laparoscopic procedure worldwide. In recent times, innovative techniques of natural orifice...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics