Syed Muhammad Bilal, Wasim Hayat Khan, Usman Ismat Butt, Roshan Butt, Muhammad Umar, Malik Ramzan Kashif

Factors influencing patient’s choice of type of surgery: Laparoscopic vs Open

Syed Muhammad Bilal, Wasim Hayat Khan, Usman Ismat Butt, Roshan Butt, Muhammad Umar, Malik Ramzan Kashif



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ABSTRACT

Aim: To evaluate the preference of patients presenting to a government sector hospital in Lahore regarding type of gall bladder surgery. Methodology: A cross sectional observation study was conducted at the Department of General Surgery, Services Hospital, Lahore from 1st January 2020 to 30th June 2021. A simple questionnaire to collect and analyze the data of the patients admitted for cholecystectomy. The content of the questionnaire included socio-demographic characteristics and lists of factors for making choice regarding type of surgery by the patient. Data was entered and analyzed using EXCEL 2013. Frequencies and Percentages were calculated as descriptive statistics whereas Fisher's exact test was conducted as inferential statistics. Results: The results of our study showed that the age (p=0.0001) of patient and cost (p=0.0427) of surgery played the most significant role in patient’s decision regarding the type of surgery. Conclusion: Age of the patient and financial constraints are important factors when patients decide about the type of surgery they want have. Despite advantages of laparoscopic surgery many patients chose open surgery due to poor financial status. Keywords: Cholecystectomy, type of surgery, patient’s choice, factors



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