Title: Quality of Life in Symptomatic and Asymptomatic Patients after Laparoscopic Cholecystectomy

Authors: Rajanala Madhu, Sharvani Duba, T J Prasanna Kumar, V Sai Tejaswini

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.164

Abstract

Gallbladder diseases are very common in developed countries. Complicated gallstone disease represents the most frequent cause of biliary disorders for which surgery is regularly advocated. As regards, cholecystectomy represents a common abdominal surgical intervention; it can be performed as either an elective or emergency surgery, as in cases of gangrene, perforation or sepsis. Laparoscopic approach is considered GOLD STANDARD in recent times. There are numerous cholecystectomies being performed around the world on a daily basis. However, little evidence exists regarding assessment of post surgical quality of life (QOL) following these interventions. To assess post-cholecystectomy QOL, infact, documentation of high quality care has been subjected to extended discussions, and the use of patient reported outcome satisfaction for quality improvement has been little research published regarding QOL out-comes following cholecystectomy. Although several tools have been used to measure QOL after cholecystectomy, difficulty remains in selecting meaningful parameters. The aim of the study is to measure the quality of life, and dynamics of changes of individual components (physical, mental, social, and environmental), in patients undergoing cholecystectomy with post op follow up period ranging from 2 months post op to 6 months post op.

Materials and Methods:  This is a prospective observational study carried out from august 2016 to august 2018. The study included patients treated for cholelithiasis by laparoscopic cholecystectomy at Department of General Surgery , NRI General Hospital, Chinakakani.

References

  1. Russo MW, Wej J T, Thiny MT, Gangarosa LM, Brown A, Ringel Y, Shaheen NJ, Sandler RS. Digestive and liver diseases statistics, . Gastroenterology 2004; 126:1448-1453.
  2. Krawczyk M (2005) Gallbladder and bile ducts. W: Noszczyk W (red) Sugery Warsaw: PZWT 821-838.
  3. Sakorafas GH, Milingos D, Peros G. Asymptomatic cholelithiasis: is cholecystectomy really needed? A critical reappraisal 15 years after introduction of laparoscopic cholecystectomy. Dig Dis Sci.2007;52(5) 1313-1325.
  4. Kasaka L, Sledzinski Z, Kobiela J (2006) Quality of life after laparoscopic and open surgery. Videosurgery 2:77-86.
  5. Caumo W Schmidt AP, Schineider CN, Bergmann J, Iwamoto CW, et al (2001) risk factors  for preoperative anxiety in adults. Acta Anaesthesiol Scandd 45: 298-307.
  6. Romanik W, Kanski A, Soluch P (2009) questionnaires and declarative level of anxiety of patients before surgery. Anaesthesiology and intensive care XLI 2: 94-99.
  7. Kaluzynski M, Kocur J (2004) The level of anxiety as a state of characteristics of patients with ischemic heart disease or hypertension. The Art of Therapy 10:23-29.
  8. borsch, K.jonsson, J.M. Zdolsek, I. Halldestam, and E.Kullman, “Prevalence of gallstone disease in a Swedish population samle: relations to occupation, childbirth, health status, lifestyle, medications, and blood lipids,” Scandinavian journal of gastroenterology, vol 33,no. 11,pp.1219-1225,1998.
  9. B. Mentes, M. Akin O. Irkorucu et al., “Gastrointestina quality of life in patients with symptomatic or asymptomatic cholelithiasis before and after laparoscopic cholecystectomy,” British journal of surgery, vol.90, no.12, pp.1549-1555.
  10. W. Plaisier, “comment on gastrointestinal quality of life in patients with symptomatic and asymptomatic cholelithiasis before and after laparoscopic cholecystectomy,” surgical endoscopy, vol. 17,p.169,2003
  11. Carraro A, Dania EI, Florian B (2011) Healt-related quality of life outcomes after cholecystectomy. World gastroenterol. 17:4945-4951.
  12. Matovic E, Hasukic S, Ljuca F, Halolovic H (2012) Quality of life in patients after laparosopic and open cholecystectomy. Med Arh66 :97-100.
  13. Topcy O, Karakayali F, Kuzu MA, Ozdemir S, Erverdi N, et al.(2003) Comparison of long term quality of life after laparoscopic and open cholecyst-ectomy. Surg Endosc 17: 291-295.
  14. Rasanen JV, Niskanen MM, Miettinen P, Sintonen H, Alhava E et al. (2001) Health related quality of life before and after gastrointestinal surgery.Eur J Surg 167: 419-425
  15. National institutes of health concensus conference (1993) Gallstones and laparoscopic cholecystectomy. J Am Med Assoc 269:1018-1024.

Corresponding Author

Rajanala Madhu

General Surgery Department, NRI General Hospital, Mangalagiri, Guntur District Andhra Pradesh, 522503, India

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