Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

Korolija, Dragan; Sauerland, Stefan; Wood-Dauphinée, Sharon; Abbou, Claude C.; Eypasch, E.; Caballero, Manuel García; Lumsden, Mary Ann; Millat, Bertrand; Monson, J. R. T.; Nilsson, Gustav; Pointner, Rudolph; Schwenk, W.; Shamiyeh, Andreas; Szold, Amir; Targarona, Eduardo M.; Ure, Benno M.; Neugebauer, E.

doi:10.1007/s00464-003-9263-x

Cited by 228 publications

(174 citation statements)

References 129 publications

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“…[39][40][41][42][43] Our subjects' results were consistent with these findings. The SF-36 s has been recommended at a consensus conference of bariatric surgeons 44 and the SF-12 s has demonstrated internal validity in a bariatric population. 45 Obese subjects are more likely to somatize and to be depressed than normal-weight controls, 46,47 which can impact on pain and pain perception.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

et al. 2006

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Objective: To determine the point prevalence of painful musculoskeletal (MSK) conditions in obese subjects before and after weight loss following bariatric surgery. Design: Longitudinal, interventional, unblended. Subjects: Forty-eight obese subjects (47 women, one man, mean age 4479 years; mean body mass index (BMI) 5178 kg/m 2 ) recruited from an academic medical center bariatric surgery program. Measurements: Comorbid medical conditions; MSK findings; BMI; Western Ontario McMaster Osteoarthritis Index (WOMAC) for pain, stiffness and function; and SF-36 s for quality of life. Methods: Consecutive subjects were recruited from the University Hospitals of Cleveland Bariatric Surgery Program. Musculoskeletal signs and symptoms and non-MSK comorbid conditions were documented at baseline and at follow-up. Subjects completed the SF-36 s and the WOMAC questionnaires. Analyses were carried out for each MSK site, fibromyalgia syndrome (FMS) and for the cumulative effect on the spine, upper and lower extremities. The impact of change in comorbid medical conditions, BMI, physical and mental health domains of the SF-36 s on the WOMAC pain subscale score was evaluated. SF-36 s outcomes were compared to normal published controls. Results: Forty-eight subjects were available for baseline and a follow-up assessment 6-12 months after gastric bypass surgery. They lost an average of 41715 kg and the mean BMI decreased from 5178 to 3677 kg/m 2 . Baseline comorbid medical conditions were present in 96% before surgery and 23% after weight loss. There was an increased prevalence of painful MSK conditions at baseline compared to general population frequencies. Musculoskeletal complaints had been present in 100% of obese subjects before, and 23% after weight loss. The greatest improvements occurred in the cervical and lumbar spine, the foot and in FMS (decreased by 90, 83, 83 and 92%, respectively). Seventy-nine percent had upper extremity MSK conditions before and 40% after weight loss. Before surgery, 100% had lower extremity MSK conditions and only 37% did after weight loss. The WOMAC subscale and composite scores all improved significantly, as did the SF-36 s . Change in BMI was the main factor impacting the WOMAC pain score. Conclusion: There was a higher frequency of multiple MSK complaints, including non-weight-bearing sites compared to historical controls, before surgery, which decreased significantly at most sites following weight loss and physical activity. These benefits may improve further, as weight loss may continue for up to 24 months. The benefits seen with weight loss indicate that prevention and treatment of obesity can improve MSK health and function.

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Section: Discussionmentioning

confidence: 99%

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

et al. 2006

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“…Following a SR of the evidence one clinical practice guideline (CPG) showed that LC improves quality of life sooner than open cholecystectomy. Nevertheless, long-term LC results were similar to the open procedure (Korolija, 2004), (Treatment studies 1a); and a prospective cohort supports the utility of LC by showing not only a significant reduction of GI postoperative symptoms but also marked improvement in patients' general QOL (Finan, 2006).…”

Section: (Treatment Studies 1a)mentioning

confidence: 52%

“…(High quality evidence). LC seems a relatively safe procedure for special groups of patients such as the elderly, pregnant women or patients with cirrhosis and portal hypertension Child A y B (Low quality evidence) (ANDEM, 1994;Downs, 1996;Korolija, 2004;Mimica, 2000;Ros, Clinical High quality: it is very unlikely that future studies change our confidence in the estimate of effect and therefore our confidence is high. Moderate quality: it is likely that future studies change our confidence in the estimate of effect.…”

Section: Discussionmentioning

confidence: 99%

“…Four SRs (ANDEM, 1994;Downs, 1996;Korolija, 2004;Keus, 2006a;Keus, 2006b), two RCTs (Mimica, 2000;Ros, 2001), three cohort studies (Devereaux, 2005;Elder, 1996;Finan, 2006), one CPG (Zacks, 2002), one cross-sectional study (Collet, 1997) and one case series (Ibrahim, 2006) were included. One SR concluded that laparoscopic techniques take longer than conventional techniques.…”

Section: Effectiveness Of Laparoscopic Cholecystectomymentioning

confidence: 99%

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Effectiveness of Laparoscopic Surgery for Gallstones and Common Bile Duct Lithiasis: a Systematic Overview

et al. 2010

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SUMMARY:The aim of the present study was to evaluate the available evidence on the effectiveness of laparoscopic surgery for treating gallstones and common bile duct lithiasis (CBDL). A systematic overview was performed. Medline, EMBASE and The Cochrane Library were searched (1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008). Systematic reviews (SR), clinical practice guidelines (CPG), randomised clinical trials (RCT) and observational studies were included. Internal validity and overall quality of the evidence were assessed. The available evidence was classified according to the Oxford Centre for Evidence Based Medicine proposal. 87 studies were included in this review (12 SR, 23 RCT, 3 CPG, 13 cohort studies, 3 cross-sectional studies, 2 case and control studies and 31 case series). Compared with open cholecystectomy, laparoscopic cholecystectomy (LC) is associated with shorter operating time, shorter hospital stay and better quality of life (high quality evidence). The use of antibiotic prophylaxis does not appear to reduce the infection rate in low-risk patients (high quality evidence). Although many techniques have been advocated to perform LC their effectiveness is as yet inconclusive (low-quality evidence). Two-stage surgery is the most appropriate strategy for high-risk patients with CBDL (high-quality evidence). Mortality is similar to open surgery, as the effectiveness is similar to that of endoscopic treatment (high-quality evidence). As a conclusion we can state that the evidence concerning the effectiveness of laparoscopic surgery for gallstones and CBDL is scarce and of low methodological quality and that better quality studies are warranted to assess these techniques more adequately.

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“…Despite being an invasive procedure involving general anaesthetic, SL offers these patients tremendous benefit (early commencement of alternative treatment strategies [38], shortened hospital stay, psychological benefit of minimally invasive surgery [39]) with very little risk (failure rate ~ 1%, morbidity, mainly minor < 0.5%, and mortality < 0.05%).…”

Section: Discussionmentioning

confidence: 99%

The role of laparoscopy and laparoscopic ultrasound in the preoperative staging of pancreatico-biliary cancers – A meta-analysis

Hariharan

Constantinides

Froeling

et al. 2010

European Journal of Surgical Oncology (EJSO)

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Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

Cited by 228 publications

References 129 publications

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

Effectiveness of Laparoscopic Surgery for Gallstones and Common Bile Duct Lithiasis: a Systematic Overview

The role of laparoscopy and laparoscopic ultrasound in the preoperative staging of pancreatico-biliary cancers – A meta-analysis

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