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.
References
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 khirurhiya – Hospital Surgery, 3, 26-29 [in Ukrainian].
Novik, A.A., & Ionova, T.I. (2007). Rukovodstvo po issledovaniyu kachestva zhizni v meditsine [Guidelines for the study of the quality of life in medicine]. Moscow: Olma media grupp [in Russian].
Lee, Y., Roh, Y., Kim, M., Kim, Y., Kim, K., Kang, S., & Jang, E. (2018). Analysis of post-operative complication in single-port laparoscopic cholecystectomy: A retrospective analysis in 817 cases from a surgeon. J. Minim. Access. Surg. DOI:10.4103/jmas.JMAS_168_17.
Umemura, A., Suto, T., Nakamura, S., Fujiwara, H., Endo, F., Nitta, H., ..., & Sasaki, A. (2018). Comparison of single-incision laparoscopic cholecystectomy versus needlescopic cholecystectomy: a single institutional randomized clinical trial. Dig Surg., DOI:10.1159/000486455.
Huang, Y., Chua, T.C., Maddern, G.J., & Samra, J.S. (2017). Robotic cholecystectomy versus conventional laparoscopic cholecystectomy: A meta-analysis. Surg., 161 (3), 628-636. DOI:10.1016/j.surg.2016.08.061.
Wakasugi, M., Tanemura, M., Tei, M., Furukawa, K., Suzuki, Y., Masuzawa, T., Kishi, K., & Akamatsu, H. (2016). Safety and feasibility of single-incision laparoscopic cholecystectomy in obese patients. Ann. Med. Surg. (Lond)., 13, 34-37. DOI:10.1016/j.amsu.2016.12.048.
Kim, T.S., Kim, K.H., An, C.H., & Kim, J.S. (2016). Single center experiences of needle-scopic grasper assisted single incision laparoscopic cholecystectomy for gallbladder benign disease: comparison with conventional 3-port laparoscopic cholecystectomy. Ann. Surg. Treat. Res., 91 (5), 233-238.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
