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Which Cholecystectomy do Medical Students Prefer?
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.
Afiliação
  • Carvalho GL; University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.
  • Lima DL; State Severs Hospital, Recife, Brazil.
  • Shadduck PP; Department of Surgery, Duke Regional Hospital, Duke University, Durham, North Carolina, USA.
  • de Góes GHB; University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.
  • Alves de Carvalho GB; University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.
  • Cordeiro RN; University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.
  • Cavalcanti Dos Santos D; University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.
JSLS ; 23(1)2019.
Article em En | MEDLINE | ID: mdl-30675093
INTRODUCTION: This study was undertaken to identify which minimally invasive technique medical students prefer for cholecystectomy and what factors determine their decision. METHODS: 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. RESULTS: 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 (P = .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 (P = .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%). CONCLUSION: 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estudantes de Medicina / Colecistectomia / Atitude do Pessoal de Saúde / Tomada de Decisão Clínica Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: JSLS Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estudantes de Medicina / Colecistectomia / Atitude do Pessoal de Saúde / Tomada de Decisão Clínica Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: JSLS Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos