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Quality-of-life outcomes with laparoscopic vs open cholecystectomy
J M Quintana1, J Cabriada, I Aróstegui
1Unidad de Investigación, Hospital de Galdakao, Barrio Labeaga s/n, 48960 Galdakao, Vizcaya, Spain.
Surgical Endoscopy
|May 6, 2003
Summary
Cholecystectomy surgery significantly improves health-related quality of life (HRQoL) for patients. Both laparoscopic and open procedures offer similar HRQoL benefits three months post-surgery.
Area of Science:
- Surgical Outcomes
- Health-Related Quality of Life (HRQoL)
Background:
- Limited research exists on the health outcomes following cholecystectomy.
- Assessing health-related quality of life (HRQoL) is crucial for understanding patient recovery after gallbladder removal.
Purpose of the Study:
- To compare the HRQoL improvements in patients undergoing laparoscopic versus open cholecystectomy.
- To evaluate patient-reported outcomes after different cholecystectomy approaches.
Main Methods:
- Prospective observational study involving patients awaiting cholecystectomy for nonmalignant conditions.
- Utilized SF-36 and Gastrointestinal Quality of Life Index (GIQLI) questionnaires to measure HRQoL pre-surgery and 3 months post-surgery.
Main Results:
- Both laparoscopic and open cholecystectomy demonstrated similar improvements in HRQoL at 3 months, as measured by SF-36 and GIQLI.
- Patients who underwent open surgery reported a worse health transition perception compared to the previous year.
- Open surgery was associated with a higher incidence of complications.
Conclusions:
- HRQoL improvement is significant and comparable between laparoscopic and open cholecystectomy at the 3-month follow-up.
- Open cholecystectomy patients reported poorer long-term health perception, despite similar short-term HRQoL gains.