Comparative assessment of the life quality of patients surgically operated using computer automated diagnostics (cad) and harmonic scalpel

Authors

  • D. M. Bayazitov Odesa National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2019.3.10543

Keywords:

appendectomy, laparoscopic surgery, quality of life, computer diagnostics, harmonic scalpel

Abstract

The aim of the work: to compare the quality of life of patients undergoing traditional laparoscopic appendectomy and appendectomy with the use of CAD and a harmonic ultrasound scalpel.

Materials and Methods. 95 patients after traditional laparoscopic (TL) appendectomy and 73 patients appenectomized in the course of CAD and harmonic scalpel exploration were under observation. QL was investigated using MOS-SF-36 questionnaire in 6 months from the moment of operation.

Results and Discussion. The number of good and excellent results in the group of patients with TL was 69.5 % (66 out from 95 patients), while in the group with CAD and harmonic scalpel exploration the analogous index was equal to 89.0 % – 65 out from 73 patients (Р<0.01). It was established that in patients with good result after laparoscopic treatment with CAD and harmonic scalpel the improvement of QL was registered on all scales of MOS-SF-36 questionnaire, while in patients with good results after traditional treatment the improvement determined by physical functioning and psychological health scales was absent. Satisfactory results of treatment after laparoscopic surgery with CAD and harmonic scalpel were characterized by the improvement on five out from eight scales (such scales as personal physical functioning, general and psychological health have been excluded). In patients with satisfactory results after traditional surgery the improvement was noted only on pain and vital activity scales.

References

Baiazitov D.M., Kresiun N.V., Buzynovskyi A.B. (2017). Avtomatyzovana kompiuterna diahnostyka apendytsytu pid chas laparoskopichnoho vtruchannia [Automated computer diagnosis of appendicitis during laparoscopic intervention]. Klinichna khirurhiia – Clinical Surgery, 8 (904), 21-23 [in Ukrainian].

Vasyliuk, S.M., Labiak, I.R., & Hudyvok, V.I. (2011). Yakist zhyttia khvorykh pislia tradytsiinoi i laparosokpichnoi apendektomii [Quality of life of patients after traditional and laparoscopic appendectomy]. Suchasni medychni tekhnolohii – Modern Medical Technologies, 3-4, 60-62 [in Ukrainian].

Ivanko O.V., & Kalyna, R.A. (2012). Porivnialna otsinka yakosti zhyttia khvorykh pislia vidkrytoi ta laparoskopichnoi apendektomii [Comparative assessment of the quality of life of patients after open and laparoscopic appendectomy]. Shpytalna khirurhiia – Clinical Surgery, 3, 26-29 [in Ukrainian].

Stoiko, Iu.M., Novik, A.A., & Levchuk, A.L. (2010). Kachestvo zhizni bolnykh posle laparoskopicheskoy appendektomii [Quality of life of patients after laparoscopic appendectomy]. Endosko­picheskaya khirurgiya – Endoscopic Surgery, 1, 3-7 [in Russian].

Skiba, V.V. Ivanko, R.A., & Kalina, A.V. (2014). Sravnitelnaya otsenka effektivnosti razlichnykh metodov laparoskopicheskoy appendektomii [Comparative evaluation of the effectiveness of various methods of laparoscopic appendectomy]. Khіrurhіia Ukrainy – Surgery of Ukraine, 2, 33–36 [in Russian].

Nazir, A., Farooqi, S.A., & Chaudhary, N.A. (2019). Comparison of open appendectomy and laparoscopic appendectomy in perforated appendicitis. Cureus, 9 (7), 5105. DOI: https://doi.org/10.7759/cureus.5105

Tiwari, M.M., Reynoso, J.F., Tsang, A.W., & Oleynikov, D. (2011). Comparison of outcomes of laparoscopic and open appendectomy in management of uncomplicated and complicated appendicitis. Ann. Surg., 254 (6), 927-932. DOI: https://doi.org/10.1097/SLA.0b013e31822aa8ea

Kapischke, M., Pries, A., & Caliebe, A. (2013). Short term and long term results after open vs. laparoscopic appendectomy in childhood and adolescence: a subgroup analysis. BMC Pediatr., 13, 154-160. DOI: https://doi.org/10.1186/1471-2431-13-154

Lee, S.H., Lee, J.Y., Choi, Y.Y., & Lee, J.G. (2019). Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: a systematic review and updated meta-analysis. BMC Surg., 19 (1), 41-55. DOI: https://doi.org/10.1186/s12893-019-0505-9

Ferranti, F., Corona, F., & Siani, L.M. (2012). Laparoscopic versus open appendectomy for the treatment of complicated appendicitis. G. Chir., 33 (8-9), 263-267.

Published

2019-11-04

How to Cite

Bayazitov, D. M. (2019). Comparative assessment of the life quality of patients surgically operated using computer automated diagnostics (cad) and harmonic scalpel. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 24–29. https://doi.org/10.11603/2414-4533.2019.3.10543

Issue

Section

ORIGINAL INVESTIGATIONS