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Patient-centered outcomes after laparoscopic cholecystectomy.
Matthew Zapf1, Woody Denham, Ermilo Barrera
1Department of Surgery, Section of Minimally Invasive Surgery, NorthShore University HealthSystem, 2650 Ridge Ave, Evanston, IL, USA, matthewzapf@gmail.com.
Surgical Endoscopy
|August 15, 2013
Summary
Laparoscopic cholecystectomy (LC) significantly impacts quality of life (QoL) within 24 hours, but patients typically recover to baseline QoL by 3 weeks. Long-term outcomes show high satisfaction and good cosmesis, though bowel function may regress.
Area of Science:
- Surgical Outcomes Research
- Patient-Centered Care
- Minimally Invasive Surgery
Background:
- Laparoscopic cholecystectomy (LC) is a common general surgical procedure in the US.
- Limited data exists on patient-centered outcomes following LC.
Purpose of the Study:
- To prospectively evaluate patient-centered outcomes after laparoscopic cholecystectomy.
- To quantify quality of life (QoL) changes and patient satisfaction post-LC.
Main Methods:
- Prospective follow-up of 100 patients for 2 years.
- Utilized the Surgical Outcomes Measurement System (SOMS) to assess QoL.
- Data collected at various postoperative time points.
Main Results:
- Pain peaked at 24 hours, returning to baseline by 7 days.
- Physical function initially worsened but improved beyond baseline by 3 weeks.
- Return to daily activities and work occurred at approximately 6 and 11 days, respectively.
- Fatigue increased initially, then improved by 3 weeks.
- High patient satisfaction (9.52/11) and positive cosmesis (72% at 6 months) reported.
- Most patient contacts concerned wound, pain, or GI issues.
Conclusions:
- QoL is significantly impacted short-term post-LC but recovers by 3 weeks.
- Long-term QoL improvements are generally maintained, except for bowel function.
- High patient satisfaction and cosmesis are achieved.
- Analysis of patient contacts can inform discharge counseling to enhance satisfaction.
