[Surgical stress in different cholecystectomies]

Area of Science:

• Surgical innovation
• Minimally invasive surgery
• Gastrointestinal surgery

Background:

• Cholecystectomy is a common surgical procedure.
• Assessing surgical stress and long-term outcomes is crucial for patient recovery.
• Traditional cholecystectomy (TCE) involves significant surgical stress.

Purpose of the Study:

• To determine the degree of surgical stress.
• To evaluate the long-term results of different cholecystectomy methods.
• To compare traditional cholecystectomy (TCE), laparoscopic cholecystectomy, and minimally invasive cholecystectomy.

Main Methods:

• Prospective randomized study design.
• Comparison of three groups: TCE (95 patients), laparoscopic cholecystectomy (91 patients), and minimally invasive cholecystectomy (92 patients).
• Objective criteria included stress hormone levels, external respiration parameters, and analgesic doses.

Main Results:

• Stress hormone levels, respiratory function, and analgesic requirements varied among the surgical methods.
• A reliable difference in quality of life was observed in the first three years post-surgery.
• Patients undergoing TCE reported significantly lower quality of life compared to those who had minimally invasive surgery.

Conclusions:

• Minimally invasive cholecystectomy demonstrates superior long-term patient quality of life outcomes compared to traditional cholecystectomy.
• Surgical method significantly impacts both immediate stress response and long-term patient well-being.
• Further research into minimally invasive techniques is warranted to optimize patient recovery and satisfaction.