COMPARATIVE ASSESSMENT OF QUALITY OF LIFE IN POSTOPERATIVE PATIENTS WITH CALCULOSIS CHOLECYSTITIS AND CHOLEDOCHOLITHIASIS
DOI:
https://doi.org/10.11603/1681-2786.2020.4.11909Keywords:
quality of life, calculous cholecystitis, choledocholithiasis, simultaneous laparoscopic operations, postoperative period, SF-36Abstract
Purpoe: to collect and calculate indicators of quality of life in postoperative patients with gallstones of gall bladder and common bile duct. To compare data from patients with open and laparoscopic treatment. To determine optimal way of treatment.
Materials and Methods. For rating quality of life 36-Item Short-Form Health Status (SF-36) was used. The statistic was collected using retrospective analysis of worked out data in laparoscopic surgery unit in Volyn Regional State Hospital where patients underwent surgical treatment (2016–2018). There were 126 patients: 52 patients who underwent conventional surgical treatment (group I) and 74 who underwent laparoscopic treatment (group II).
Results and Discussion. After analysis and summarization of statistics, it was noted that the pain syndrome in patients in group I was present only in the first 2 days, and on the second day after surgery was observed only during active movement. In group II, the pain lasted from 4 to 7 days. ERAS (Enhanced Recovery After Surgery) principles were used in both groups. Independent getting up of patients in group I was possible in (4.1±1.9) hours, in group II (19.7±3.3) hours after the operation was completed. Oral nutrition was resumed in patients in group I after (14.7±3.1) hours, in group II after (25.9±5.5) hours after the operation was completed. Data on the well-being of operated patients are shown in graphs 1 and 2 for the groups respectively.
Conclusions. Simultaneous laparoscopic operations for the treatment of cholecystitis and choledocholithiasis show high efficacy and safety. Feeling better, less pain and shoter recovery period give the patient physical relief, which guarantees both psychological comfort and rapid recovery of general well-being in the short term and in the long run after laparoscopic cholecystectomy and choledocholithotomy.
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