Abstract
The purpose of our study was to explore the influencing factors of parental selections of minimally invasive procedure including laparoscopic or robotic methods in children’s abdominal surgery. The questionnaire survey was conducted among the parents of patients who received abdominal laparoscopic or robotic surgery in our hospital from December 2020 to June 2022. The contents included basic information of the patients and parents, parental educational background, monthly income, insurance details and the parental considerations. Univariate and multivariate logistic regression were applied for the influencing factors analysis. Six categories of diseases involving choledochal cyst (198 cases), spleen related diseases (31 cases), hirschsprung disease (40 cases), inguinal hernia (330 cases), adrenal tumor (15 cases) and ureteropelvic junction obstruction (73 cases) were included in this study. After univariable and multivariable logistic regression analysis accomplished, we discovered that college degree or above (OR = 0.545, P < 0.001), monthly income > 5000 RMB (OR = 0.761, P < 0.001) and involving reconstruction during operation (OR = 0.842, P < 0.001) were the influencing factors for parental selections of robotic surgery. In children’s abdominal surgery, parents with college degree or above, monthly income > 5000 RMB and considering the need for reconstruction during operation are more inclined to choose the robotic surgery.
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The authors are willing to make their data, analytical methods, and study materials available to other researchers, who can contact xb_scu.edu@hotmail.com to obtain these materials.
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Acknowledgements
We are very grateful for the support of Key R & D project of Sichuan Science and Technology Department (2021YFQ0063), and 1·3·5 project for disciplines of excellence, West China Hospital, Sichuan University (Project no. ZYJC18003 & 2021HXFH020).
Funding
This work was supported by Key R & D project of Sichuan Science and Technology Department (2021YFQ0063), and 1·3·5 project for disciplines of excellence, West China Hospital, Sichuan University (Project no. ZYJC18003 & 2021HXFH020).
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by XLX, KWL and BX. The first draft of the manuscript was written by XLX and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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All the authors (Xiaolong Xie, Kewei Li and Bo Xiang) have no relevant financial or non-financial interests to disclose.
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This study was performed in line with the principles of the Declaration of Helsinki. The study was approved by the ethics committees of the West China Hospital of Sichuan University (Date 2021.10.25 /No.1519).
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Xie, X., Li, K. & Xiang, B. Influencing factors of parental selections of minimally invasive procedure in children’s abdominal surgery: a cross-sectional study in China. J Robotic Surg 17, 1681–1687 (2023). https://doi.org/10.1007/s11701-023-01566-2
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DOI: https://doi.org/10.1007/s11701-023-01566-2