Similar observations have been noted in a survey of patient perception on natural orifice transluminal endoscopic surgery as a technique for cholecystectomy, in which a decreasing trend of patient preference for natural orifice transluminal endoscopic surgery was observed with increased procedural complications. 18 Although these two observations may not seem an unusual patient expectation for any surgical procedure, they hold significance when the assumption among the proponents of this technique is that lack of significant pain and scarring may make SILC more appealing to patients and perhaps will justify its inclusion in a general surgeon's armamentarium.
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