01-01-2010 | Original Article
Changes in Quality-of-Life Following Laparoscopic Cholecystectomy in Adult Patients with Cholelithiasis
Published in: Journal of Gastrointestinal Surgery | Issue 1/2010
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Background
The aim of this study was to evaluate changes in quality-of-life following laparoscopic cholecystectomy (LC) in adults with cholelithiasis.
Methods
Patients were evaluated with the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and the Gastrointestinal Quality of Life Index (GIQLI) preoperatively and 12 months after LC. Outcome predictors were analyzed using correlation and regression statistics.
Results
Ninety-nine patients were enrolled (male/female, 32:67, age 49.8 ± 13.7 years old). At baseline, patients performed inferiorly to general population in all SF-36 general health dimensions (p < 0.0001). Postoperatively, the “role-physical”, “role-emotional”, and “bodily pain” dimensions of health significantly improved. There were significant improvements in GIQLI “total”, “physical well-being”, “mental well-being”, “gastrointestinal digestion”, and “defecation” subscales scores. Serum direct bilirubin level and drainage tube indwelling were significant predictors for quality-of-life improvement following LC.
Conclusions
LC can greatly reduce gastrointestinal symptoms to improve quality-of-life for patients with cholelithiasis. Patients with severe baseline conditions may benefit from greater quality-of-life improvement following LC.