Quality-of-life outcomes with laparoscopic vs open cholecystectomy

Quintana, José M.; Cabriada, José Luis; Aróstegui, Inmaculada; Tejada, I. López de; Bilbao, Amaia

doi:10.1007/s00464-002-9202-2

Cited by 23 publications

(3 citation statements)

References 20 publications

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“…Previous studies have implemented the GIQLI score in evaluating QoL following elective LC for symptomatic 10 11 12 13 and non-symptomatic cholelithiasis, 8 9 12 13 14 15 16 17 chronic acalculous cholecystitis, 18 laparoscopic versus open approach for cholecystectomy, 15 19 factors predicting QoL benefits following LC, 20 21 22 23 the appropriateness of LC 24 and QoL difference between post-LC patient and the background population. 25 However, no study to date has addressed whether index admission LC improves/restores QoL in AC.…”

Section: Introductionmentioning

confidence: 99%

Index admission laparoscopic cholecystectomy for acute cholecystitis restores Gastrointestinal Quality of Life Index (GIQLI) score

Chan

Lingam

et al. 2018

Ann Hepatobiliary Pancreat Surg

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Backgrounds/AimsPrevious studies have evaluated quality of life (QoL) in patients who underwent laparoscopic cholecystectomy (LC) for cholelithiasis. The purpose of this study was to evaluate QoL after index admission LC in patients diagnosed with acute cholecystitis (AC) using the Gastrointestinal Quality of Life Index (GIQLI) questionnaire.MethodsPatients ≥21 years admitted to Tan Tock Seng Hospital, Singapore for AC and who underwent index admission LC between February 2015 and January 2016 were evaluated using the GIQLI questionnaire preoperatively and 30 days postoperatively.ResultsA total of 51 patients (26 males, 25 females) with a mean age of 60 years (24–86 years) were included. Median duration of abdominal pain at presentation was 2 days (1–21 days). 45% of patients had existing comorbidities, with diabetes mellitus being most common (33%). 31% were classified as mild AC, 59% as moderate and 10% as severe AC according to Tokyo Guideline 2013 (TG13) criteria. Post-operative complications were observed in 8 patients, including retained common bile duct stone (n=1), wound infection (n=2), bile leakage (n=2), intra-abdominal collection (n=1) and atrial fibrillation (n=2). 86% patients were well at 30 days follow-up and were discharged. A significant improvement in GIQLI score was observed postoperatively, with mean total GIQLI score increasing from 106.0±16.9 (101.7–112.1) to 120.4±18.0 (114.8–125.9) (p<0.001). Significant improvements were also observed in GIQLI subgroups of gastrointestinal symptoms, physical status, emotional status and social function status.ConclusionsIndex admission LC restores QoL in patients with AC as measured by GIQLI questionnaire.

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Section: Introductionmentioning

confidence: 99%

Index admission laparoscopic cholecystectomy for acute cholecystitis restores Gastrointestinal Quality of Life Index (GIQLI) score

Chan

Lingam

et al. 2018

Ann Hepatobiliary Pancreat Surg

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“…According to scientific literature, post-admission outcomes of laparoscopic cholecystectomy are faster return to normal activities and a better quality of life [8,9,10,11,12,13]. …”

Section: Introductionmentioning

confidence: 99%

Postoperative Pulmonary Function in Open versus Laparoscopic Cholecystectomy: A Meta-Analysis of the Tiffenau Index

Damiani¹,

Pinnarelli

Sammarco³

et al. 2008

Dig Surg

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Background: Available scientific literature about open cholecystectomy (OC) and laparoscopic cholecystectomy (LC) does not show univocal results in terms of postoperative pulmonary function. A meta-analysis was carried out to evaluate the postoperative pulmonary function after OC and LC focusing on the Tiffenau index. Methods: Electronic databases were consulted (Cochrane Library, Embase and Pubmed). Standardized mean difference (SMD) with 95% CI was calculated for the Tiffenau Index. The kappa test was performed to evaluate agreement between the reviewers regarding the quality of the selected studies. A sensitivity analysis was carried out to assess the robustness of our study. Heterogeneity among studies was tested by using a χ² test at 0.05 significance level. A random effects model meta-analysis was performed. Results: Meta-analysis of the 13 articles included, resulted in a SMD of 53% (95% CI 0.04, 1.02) for the Tiffenau Index in favor of laparoscopic cholecystectomy. The χ² test analysis showed the presence of heterogeneity among studies (Tiffenau index χ² = 99.97, p = 0.03). The sensitivity analysis confirms the validity of our results. Conclusions: Postoperative pulmonary function is better preserved after laparoscopic cholecystectomy than open cholecystectomy.

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“…The QOL assessment was measured by the SF-36 (Short Form-36 Health Survey), a validated questionnaire of 36 queries assessing 8 domains of QOL: physical function, physical limitation, emotional problem, energy/fatigue, emotional wellbeing, social function, pain, and general health. 4,5 The FSFI is a validated, reliable questionnaire involving 19 questions and assessments of 6 domains of sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain with intercourse. [6][7][8] Each domain is scored on a scale of 1 to 6, with higher scores indicating better function.…”

Section: Methodsmentioning

confidence: 99%

Pure Transvaginal Ventral Hernia Repair in Humans

et al. 2013

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Quality-of-life outcomes with laparoscopic vs open cholecystectomy

Abstract: HRQoL improvement at 3 months was relevant and similar for both surgical techniques, although the health transition perception was worse for those who underwent open surgery.

Cited by 23 publications

References 20 publications

Index admission laparoscopic cholecystectomy for acute cholecystitis restores Gastrointestinal Quality of Life Index (GIQLI) score

Index admission laparoscopic cholecystectomy for acute cholecystitis restores Gastrointestinal Quality of Life Index (GIQLI) score

Postoperative Pulmonary Function in Open versus Laparoscopic Cholecystectomy: A Meta-Analysis of the Tiffenau Index

Pure Transvaginal Ventral Hernia Repair in Humans

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