Long-term outcome and health-related quality of life after laparoscopic and open colectomy for benign disease

Abstract

LC was not different from OC for selected indications that measure long-term outcome and HRQL. SF-36 appears to be an appropriate instrument to measure postoperative HRQL, showing responsiveness to changes in objective outcome measures.

Long-term health-related quality of life after minimally invasive surgery for diverticular disease

“…This is even more true if we consider the different type of surgery for DD [22]. This result confirmed with a highly discriminative questionnaire that there is no difference in terms of long-term HRQL between open and minimally invasive colonic resection as reported by Seitz et al and by Thaler et al [18,19]. In fact, even in term of generic quality of life (analyzed with the Italian version of CGQL) no significant differences were observed between patients treated with minimally invasive colonic resection and those treated with open surgery.…”

“…Nevertheless, advances in minimally invasive colonic surgery have broadened the spectrum of indications, and a large multicentric study has recently shown that 87% of the patients undergoing this procedure are affected with an uncomplicated DD [16]. Furthermore, although a prospective study showed significant improvement in quality of life and social functioning after laparoscopic sigmoid colectomy, others failed to identify any clear differences between laparoscopic sigmoid colectomy and open sigmoid colectomy in terms of quality of life [17][18][19]. Therefore, the impact and the possible role of minimally invasive colonic resection on DD management still appear unclear.…”

“…Moreover, a recent German study conducted with the Gastrointestinal Quality-of-Life Index, a disease specific questionnaire, did not identify clear differences between laparoscopic sigmoid colectomy and open sigmoid colectomy in terms of quality of life [18]. Similarly, Thaler et al did not find any differences in long-term generic quality of life between minimally invasive and open colonic resection assessed with Short Form 36 tool [19]. Therefore, the impact on quality of life of minimally invasive colonic resection on DD management still appears unclear.…”

Measuring Surgical Recovery: The Study of Laparoscopic Live Donor Nephrectomy

“…In minimally invasive surgery alone, it has been used to describe health-related quality of life following laparoscopic cholecystectomy (33), Nissen fundoplication (34), inguinal hernia repair (35), colectomy (36) and gastric bypass (37). In the field of LLDN, Perry et al showed that patients had reached population norms in all eight SF-36 domains by 6 to 12 months (38), but this was the first study to use the SF-36 to describe the recovery process within weeks following the procedure.…”

Gas-related impact of pneumoperitoneum on systemic wound healing

“…Similarly, a variety of clinical studies observed comparable or even fewer wound healing complications after CO 2 laparoscopy in comparison with open surgery [5][6][7][8][9][10][11][12].…”