Patient Body Image and Satisfaction with Surgical Wound Appearance After Reduced Port Surgery for Colorectal Diseases.
BACKGROUND
The use of reduced port surgery (RPS) is increasing in the field of colorectal surgery. It is considered to offer advantages over conventional multiport surgery (MPS) in terms of decreased invasiveness and superior cosmesis. However, to date there has been no study that evaluates patient satisfaction after undergoing RPS for colorectal diseases. Herein, we present a questionnaire-based study to address this issue.


METHODS
Questionnaires were sent by mail to 216 patients who underwent RPS and 145 who underwent MPS. Patient's satisfaction with cosmesis and body image after colorectal surgery was assessed using a validated Body Image Questionnaire (BIQ) and Photo Series Questionnaire (PSQ).


RESULTS
A total of 76.9 % (166/216) of the RPS patients and 70.3 % (102/145) of the MPS patients returned the questionnaires. BIQ scores gradually improved after surgery, and were more positive overall in the RPS group compared to the MPS group. RPS patients marked significantly better PSQ scores than MPS patients (P < 0.05). In RPS subset analysis, patients with single port surgery (SPS) rated better PSQ scores than patients with SPS with additional port insertion (P < 0.05).


CONCLUSIONS
We find that RPS, especially SPS, enhances patient satisfaction by reducing abdominal wall trauma. This new advantage of RPS may prove valuable in its consideration as an option in laparoscopic colorectal surgery.
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Atsushi
A
Hamabe
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. itakemasa@gesurg.med.osaka-u.ac.jp.
Ichiro
I
Takemasa
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Taishi
T
Hata
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Tsunekazu
T
Mizushima
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Yuichiro
Y
Doki
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Masaki
M
Mori
D000368:Aged; D001828:Body Image; D016022:Case-Control Studies; D003108:Colonic Diseases / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000601:surgery*; D016208:Databases, Factual; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012002:Rectal Diseases / Q000601:surgery*; D000072836:Surgical Wound; D011795:Surveys and Questionnaires; D016896:Treatment Outcome