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タイトル: | 単孔式腹腔鏡下ドナー腎採取術のBody image と整容性について |
その他のタイトル: | Cosmesis and Body Image after Laparo-Endoscopic Single Site Donor Nephrectomy |
著者: | 矢西, 正明 木下, 秀文 吉田, 崇 高安, 健太 三島, 崇生 吉田, 健志 杉, 素彦 河, 源 松田, 公志 |
著者名の別形: | Yanishi, Masaaki Kinoshita, Hidefumi Yoshida, Takashi Takayasu, Kenta Mishima, Takao Yoshida, Kenji Sugi, Motohiko Kawa, Gen Matsuda, Tadashi |
キーワード: | Laparo-endoscopic single site donor nephrectomy Cosmetic |
発行日: | Jul-2015 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 61 |
号: | 7 |
開始ページ: | 265 |
終了ページ: | 270 |
抄録: | Using a questionnaire, we objectively assessed the body image ofdonors who underwent conventional laparoscopic donor nephrectomy (L-DN) or laparoscopic single-site donor nephrectomy (LESS-DN). Subjects were 15 patients who underwent an L-DN and 15 who underwent an LESS-DN. The questionnaire consisted ofthe Body Image Questionnaire (BIQ), including a Body Image Scale (BIS) and Cosmetic Scale (CS), and a Photo-Series Questionnaire (PSQ). A higher score indicated a more favorable assessment, and patient scores were compared. Subjects were also asked which procedure they preferred if they had to undergo donor nephrectomy again. Pain was assessed by comparing the number oftimes an analgesic was administered during hospitalization. The average BIS score was 18.7 points (out of 20) for patients who underwent an L-DN and 19.5 points for patients who underwent an LESS-DN ; those who underwent an LESS-DN had a significantly higher score (p=0.03). Patients who underwent an L-DN had a median CS score of 17.5 points (out of 24) while patients who underwent an LESS-DN had a median CS score of 19.1 points ; those who underwent an LESS-DN had a higher score, but the difference in average CS scores was not significant (p=0.123). The average PSQ score was 7.1 points for patients who underwent an L-DN and 8.8 points for patients who underwent an LESS-DN ; the higher score for LESS-patients was statistically significant (p=0.01). Patients who underwent an L-DN were administered an analgesic a median of4 times during hospitalization (range : 3-10 times) while patients who underwent an LESS-DN were administered an analgesic a median of 2 times (range : 0-4 times), which was significantly less (p=0.01). Patients who underwent LESS-DN had a better body image and better cosmetic appearance than those who underwent LDN, thus indicating the usefulness of LESS-DN. However, a more prospective larger study needs to be performed. |
著作権等: | 許諾条件により本文は2016/08/01に公開 |
URI: | http://hdl.handle.net/2433/199581 |
PubMed ID: | 26278210 |
出現コレクション: | Vol. 61 No. 7 |
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