Quality of Life in Patient,s After Laparoscopic and Open Cholecystectomy

Matovic, Ervin; Hasukic, Sefik; Ljuca, Farid; Halilovic, Hajrudin

doi:10.5455/medarh.2012.66.97-100

Cited by 14 publications

(10 citation statements)

References 5 publications

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“…Quality of life was significantly better with laparoscopic cholecystectomy compared with open cholecystectomy after 2 and 5 weeks. However, 10 weeks after surgery, there were no differences in total quality of life score between the groups 4. Specific gastrointestinal symptoms, like diarrhoea and stomach pain, have been reported to occur more prevalent after cholecystectomy 5.…”

Section: Introductionmentioning

confidence: 86%

Quality of life and psychological and gastrointestinal symptoms after cholecystectomy: a population-based cohort study

Talseth

Edna

Hveem

et al. 2017

BMJ Open Gastroenterol

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ObjectiveThe study aims to examine gastrointestinal symptoms, quality of life and the risk of psychological symptoms after cholecystectomy.DesignThis is a prospective population-based cohort study based on the Nord-Trøndelag Health Study (HUNT) Norway. HUNT is a repeated health survey of the county population and includes a wide range of health-related items. In the present study, all 3 HUNT surveys were included, performed between 1984 and 2008. Selected items were scores on quality of life, the Hospital Anxiety and Depression Scale (HADS) and selected gastrointestinal symptoms. Participants who underwent cholecystectomy for gallstone disease between 1 January 1990 and until 1 year before attending HUNT3 were compared with the remaining non-operated cohort. Associations between cholecystectomy and the postoperative scores and symptoms were assessed by multivariable regression models.ResultsParticipants in HUNT1, HUNT2 and HUNT3 were 77 212 (89.4% of those invited), 65 237 (69.5%) and 50 807 (54.1%), respectively. In the study period, 931 participants were operated with cholecystectomy. Cholecystectomy was associated with an increased risk of diarrhoea and stomach pain postoperatively. In addition, cholecystectomy was associated with an increased risk of nausea postoperatively in men. We found no associations between cholecystectomy and quality of life, symptoms of anxiety and depression, constipation, heartburn, or acid regurgitation following surgery.ConclusionsIn this large population-based cohort study, cholecystectomy was associated with postoperative diarrhoea and stomach pain. Cholecystectomy for gallstone colic was associated with nausea in men. There were no associations between quality of life, symptoms of anxiety and depression, constipation, heartburn, or acid regurgitation.

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Section: Introductionmentioning

confidence: 86%

Quality of life and psychological and gastrointestinal symptoms after cholecystectomy: a population-based cohort study

Talseth

Edna

Hveem

et al. 2017

BMJ Open Gastroenterol

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“…Additionally, preoperative health status was significantly and positively associated with each subscale of the GIQLI and SF-36 throughout the 6 months (LE3). Lastly, Matovic et al prospectively studied 59 LC and 61 OC patients using the GIQLI score before surgery and then at 2, 5, and 10 weeks after surgery [268]. Patients QoL at 2 and 5 weeks after the procedure were significantly better in the laparoscopic versus open group in all four domains, but 10 weeks after the procedure there was no difference in QoL total and domain score (LE 3).…”

Section: Qol After Laparoscopic Versus Open Cholecystectomymentioning

confidence: 96%

“…RCTs compared QoL after LC and MLTC . Our systematic review of the literature identified three more papers on the topic [266][267][268]. Velanovich prospectivestudy adopted the SF-36 questionnaire before and at 6 weeks after surgery [266].…”

Section: Qol After Laparoscopic Versus Open Cholecystectomymentioning

confidence: 99%

Laparoscopic cholecystectomy: consensus conference-based guidelines

Agresta

Campanile

Vettoretto³

et al. 2015

Langenbecks Arch Surg

101

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“…[12] However, it is not completely safe in the elderly and is hemodynamically compromised. During laparoscopy, the main trespasses to physiological hemostasis in an anesthetized patient include the patient's positioning, creation of pneumoperitoneum by the insufflating gas and extubation.…”

Section: Introductionmentioning

confidence: 99%

The comparative evaluation of intravenous with intramuscular clonidine for suppression of hemodynamic changes in laparoscopic cholecystectomy

et al. 2013

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Background:Clonidine diminishes stress response by reducing circulating catecholamines and hence increases perioperative circulatory stability in patients undergoing laparoscopic surgeries. The aim of this study was to compare intravenous (IV) clonidine (2 μg/kg) with intramuscular (IM) clonidine (2 μg/kg) for attenuation of stress response in laproscopic surgeries.Methods:Eighty adult patients classified as ASA physical status I or II, aged between 20 and 60 years undergoing elective cholecystectomy under general anesthesia were enrolled for a prospective, randomized, and double-blind controlled trial. They received either IV clonidine (2 μg/kg) 15 min prior to the scheduled surgery (Group I) or IM clonidine (2 μg/kg) 60-90 min prior to the scheduled surgery (Group II). Hemodynamic variables (Heart rate, systolic (SBP), diastolic (DBP), mean arterial pressure (MAP)), SpO2 and EtCO2 were recorded at specific times - baseline, prior to induction, 1 min after intubation, before CO2, insufflation, after CO2 insufflation at 1,5,10,20,30,45,60 min, after release of CO2, at 1 and 10 minutes after extubation. Secondary outcomes included evaluation of adverse effect profile of the two groups.Results:No significant difference was observed in the HR throughout the intraoperative period in between the two groups (P>0.05). There was statistically significant difference in SBP between the two groups starting from 1 minute after induction till 1 min after extubation (P<0.05) but not in DBP except at 1 minute after intubation (P=0.042). Significant difference in MAP was noted at 1 minute after intubation (P=0.004) and then from 5 minutes after CO2 insufflation to 1 minute after extubation (P<0.05). Incidence of adverse effects were higher in group II (P=0.02) especially incidence of hypertension requiring treatment (0.006).Conclusion:We conclude that under the conditions of this study, hemodynamic parameters (SBP, DBP and MAP) were better maintained in the IV as compared to the IM route that had significantly higher incidence of hypertension requiring treatment.

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Quality of Life in Patient,s After Laparoscopic and Open Cholecystectomy

Cited by 14 publications

References 5 publications

Quality of life and psychological and gastrointestinal symptoms after cholecystectomy: a population-based cohort study

Quality of life and psychological and gastrointestinal symptoms after cholecystectomy: a population-based cohort study

Laparoscopic cholecystectomy: consensus conference-based guidelines

The comparative evaluation of intravenous with intramuscular clonidine for suppression of hemodynamic changes in laparoscopic cholecystectomy

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