Estimation of quality of life in elderly and senile patients after miniinvasive operative interventions for an acute calculous cholecystitis and choledocholithiasis
Abstract
Objective. To investigate the quality of life in elderly and senile patients after miniinvasive operative interventions performed.
Маterials and methods. The indices of physical and psychological components of QL were estimated in accordance to questionaire Outcomes Study Short Fait (SF-36) in 255 elderly and senile patients with an acute cholecystitis, coexistent with choledocholithiasis after miniinvzsive surgical treatment. The choice of the correction method for the bile-diverting ways pathology have depended upon clinic-morphological forms of the disease and the patients’ somatic state.
Results. The indices of physical component of QL in patients of the main group in 3 mo postoperatively were trustworthy higher, comparing with similar indices in patients of a control group (р < 0.05). The indices of psychological component of QL were higher also in patients of the main group (р > 0.05). The indices of physical and psychological components of QL in the patients of the main and control groups in 6 mo postoperatively did not differ trustworthily.
Conclusion. After application of miniinvasive laparoscopic procedures the indices of physical and psychological components of QL, estimated using questionnaire SF-36, are better, than QL in patients with preserved function of duodenal papilla magna.
References
2. Yamashita Y, Noritomi T, Matsuoka N, Sinya T, Sugi Y, Higa K, Kusumoto G, Nitahara K. Surgical treatment of acute cholecystitis. Masui. 2012 Sep;61(9):944-50; discussion 951-2. PMID: 23012831.
3. Zehetner J, Leidl S, Wuttke ME, Wayand W, Shamiyeh A. Conversion in laparoscopic cholecystectomy in low versus high-volume hospitals: is there a difference? Surg Laparosc Endosc Percutan Tech. 2010 Jun;20(3):173-6. doi: 10.1097/SLE.0b013e3181df9dac.
4. Nuchutaylo MYu, Kanikovskyi OYe, Karyi YaV, Babiychuk YuV. Sposoby biliarnoidekompresii pry obturatsiinii zhovtianytsiu khvorykh povazhnoho viku. Klinichna khirurhiia. 2017;(7):10-12. [InUkrainian].
5. Savoliuk SI, Senko AI, Klimas AS. Porivnialnyi analiz pokaznykiv yakosti zhyttia khvorykh, operovanykh z pryvodu nepukhlynnoi obturatsiinoi zhovtianytsi. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu. 2012;16(1):214-20. [InUkrainian].
6. Rusyn VI, Sirchak YeS, Kurchak Nyu, et al. Dynamika pokaznykiv yakosti zhyttia ta psykhosomatychnykh zmin u khvorykh na khronichnyi pankreatyt pislia kholetsystektomii na foni patohenetychno obgruntovanoi kompleksnoi terapii. Naukovyi visnyk Uzhhorodskoho universytetu: Seriia: Medytsyna / vidp. red. Rusyn VI. Uzhhorod: Spektral, 2014;1(49):36-40. [In Ukrainian].
7. Hsueh LN, Shi HY, Wang TF, Chang CY, Lee KT. Health-related quality of life in patients undergoing cholecystectomy. Kaohsiung J Med Sci. 2011 Jul;27(7):280-8. doi: 10.1016/j.kjms.2011.03.002.
This work is licensed under a Creative Commons Attribution 4.0 International License.
