caa a22 4500 445796391 CHVBK 20180317145126.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s10620-011-1797-5 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1797-5 Natural Orifice Translumenal Endoscopic Surgery (NOTES): Patients' Perceptions and Attitudes [Elektronische Daten] [Wen Li, Hong Xu, Zi-Kai Wang, Zhi-Ning Fan, Shan-Duo Ba, Duo-Wu Zou, Xu Ren, Bing Hu, Yong-Hui Huang, Ming-Jun Sun, Jie Liu, Wen Li, Ping Xu, Qi Zhu, Si-De Liu, Jian-Guo Xiao] Background: Natural orifice translumenal endoscopic surgery (NOTES) has generated a surge of enthusiasm among researchers by virtue of its challenge to the dogma and potential benefits. However, no data is available in the medical literature about NOTES' acceptance by patients in Asia. The aim of the study is to survey patients' perceptions and attitudes towards NOTES. Methods: It is a questionnaire-based multi-center study on inpatient subjects with various gastrointestinal disorders from 14 hospitals in 12 cities of China. Procedural details with the benefits and risks of NOTES, laparoscopic surgery, and conventional surgery were explained to all registered candidates. They were required to choose and cite reasons for adopting one of the above three surgical techniques as the preferred mode of treatment. The reasons for selection of the surgical treatment were: safety, efficacy, cost, postoperative pain, abdominal wounds, and scarring. Results: There were 1,797 cases, including 976 (54.3%) males and 821 females (45.7%). Based on their comprehension of the procedure, 802 (44.6%) patients opted for NOTES, 757 (42.1%) for laparoscopic surgery, and 238 (13.2%) for conventional surgery. NOTES was mainly selected by the young and educated persons, especially females and by those with past exposure to laparoscopy or conventional surgery. The choice of treatment was significantly correlated with age (P=0.0021), education (P=0.0209), past medical history (laparoscopy, P=0.0134; open surgery, P<0.0001), and department of admission (P=0.0173). The preference for NOTES was based on safety (37.3%), cost (17.6%), elimination of postoperative scars (16.1%), abdominal wounds (16.0%), and efficacy (13.1%). Conclusions: The vast majority of patients prefer mini-invasive surgery to conventional surgery. The potential recipients of NOTES are educated and younger age groups. However, a few consider NOTES as a safe and effective intervention at present. Springer Science+Business Media, LLC, 2011 Natural orifice translumenal endoscopic surgery (NOTES) nationallicence Laparoscopy nationallicence Conventional surgery nationallicence Survey nationallicence Patients' perception and attitudes nationallicence LS : Laparoscopic surgery nationallicence CS : Conventional surgery nationallicence NOTES : Natural orifice translumenal endoscopic surgery nationallicence MIS : Minimally invasive surgery nationallicence Li Wen Department of Gastroenterology and Hepatology, The Chinese People's Liberation Army General Hospital, Fuxing Road 28, 100853, Beijing, China aut Xu Hong Department of Gastroenterology, The First Hospital of Jilin University, Changchun, China aut Wang Zi-Kai Department of Gastroenterology and Hepatology, The Chinese People's Liberation Army General Hospital, Fuxing Road 28, 100853, Beijing, China aut Fan Zhi-Ning Digestive Medical Centre, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China aut Ba Shan-Duo Department of Gastroenterology, The Peoples Hospital of Xinjiang Municipality, Wulumuqi, China aut Zou Duo-Wu Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China aut Ren Xu Department of Gastroenterology, Heilongjiang Province Hospital, Harbin, China aut Hu Bing Endoscopy Center, Eastern Hepatobiliary Hospital of the Second Military Medical University, Shanghai, China aut Huang Yong-Hui Department of Gastroenterology, Peking University Third Hospital, Beijing, China aut Sun Ming-Jun Endoscopy Center, The First Affiliated Hospital of China Medical University, Shenyang, China aut Liu Jie Department of Digestive Diseases, Huashan Hospital, Fudan University, 200040, Shanghai, China aut Li Wen Department of Surgery, Tianjin Union Medical Center, Tianjin, China aut Xu Ping Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China aut Zhu Qi Department of Gastroenterology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China aut Liu Si-De Department of Gastroenterology, Nanfang Hospital of the Southern Medical University, Guangzhou, China aut Xiao Jian-Guo Department of Gastroenterology and Hepatology, The Chinese People's Liberation Army General Hospital, Fuxing Road 28, 100853, Beijing, China aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/8(2011-08-01), 2415-2422 0163-2116 56:8<2415 2011 56 10620 https://doi.org/10.1007/s10620-011-1797-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1797-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Li Wen Department of Gastroenterology and Hepatology, The Chinese People's Liberation Army General Hospital, Fuxing Road 28, 100853, Beijing, China aut NATIONALLICENCE 700 1- Xu Hong Department of Gastroenterology, The First Hospital of Jilin University, Changchun, China aut NATIONALLICENCE 700 1- Wang Zi-Kai Department of Gastroenterology and Hepatology, The Chinese People's Liberation Army General Hospital, Fuxing Road 28, 100853, Beijing, China aut NATIONALLICENCE 700 1- Fan Zhi-Ning Digestive Medical Centre, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China aut NATIONALLICENCE 700 1- Ba Shan-Duo Department of Gastroenterology, The Peoples Hospital of Xinjiang Municipality, Wulumuqi, China aut NATIONALLICENCE 700 1- Zou Duo-Wu Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China aut NATIONALLICENCE 700 1- Ren Xu Department of Gastroenterology, Heilongjiang Province Hospital, Harbin, China aut NATIONALLICENCE 700 1- Hu Bing Endoscopy Center, Eastern Hepatobiliary Hospital of the Second Military Medical University, Shanghai, China aut NATIONALLICENCE 700 1- Huang Yong-Hui Department of Gastroenterology, Peking University Third Hospital, Beijing, China aut NATIONALLICENCE 700 1- Sun Ming-Jun Endoscopy Center, The First Affiliated Hospital of China Medical University, Shenyang, China aut NATIONALLICENCE 700 1- Liu Jie Department of Digestive Diseases, Huashan Hospital, Fudan University, 200040, Shanghai, China aut NATIONALLICENCE 700 1- Li Wen Department of Surgery, Tianjin Union Medical Center, Tianjin, China aut NATIONALLICENCE 700 1- Xu Ping Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China aut NATIONALLICENCE 700 1- Zhu Qi Department of Gastroenterology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China aut NATIONALLICENCE 700 1- Liu Si-De Department of Gastroenterology, Nanfang Hospital of the Southern Medical University, Guangzhou, China aut NATIONALLICENCE 700 1- Xiao Jian-Guo Department of Gastroenterology and Hepatology, The Chinese People's Liberation Army General Hospital, Fuxing Road 28, 100853, Beijing, China aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; 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