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Quality-of-life outcomes with laparoscopic vs open cholecystectomy

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An Erratum to this article was published on 01 June 2004

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Abstract

Background: Few studies have assessed the health outcomes of patients who underwent cholecystectomy. The goal of this study was to evaluate the health-related quality-of-life (HRQoL) improvement of patients undergoing laparoscopic versus open cholecystectomy. Methods: A prospective observational study was performed of consecutive patients on waiting lists to undergo cholecystectomy for nonmalignant disease in six hospitals. Patients were asked to complete two questionnaires that measure (HRQoL)—the SF-36 and the Gastrointestinal Quality of Life Index (GIQLI)—before the intervention and 3 months later. Results: Improvement after surgery, measured by the SF-36 and GIQLI, was similar for both surgical techniques. The SF-health transition item showed a perception of worse health, compared to 1 year previously, for those who underwent open surgery and complications were also higher. Conclusions: HRQoL improvement at 3 months was relevant and similar for both surgical techniques, although the health transition perception was worse for those who underwent open surgery.

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Change history

  • 01 June 2004

    In the “Materials and methods” section, under the subheading “Statistical analysis,” it was stated that just patients with ASA IV were in the high surgical risk group, whereas the high surgical risk group included patients with ASA III and ASA IV.

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Acknowledgements

This study was supported in part by a grant from the Fondo de Investigación Sanitaria (98/002-03). Amaia Bilbao received a grant from the Department of Health of the Basque Government. We also thank the following individuals for their contributions to this study: Y. Echeverria, I. Garay, A. Higelmo, I. Lafuente, A. Rodriguez, and I. Vidaurreta for their contributions to the data retrieval and data introduction. We appreciate the support of the staff members of the different services, research, and quality units, as well as the medical records sections of the participating hospitals.

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Authors and Affiliations

  1. Unidad de Investigación, Hospital de Galdakao, Barrio Labeaga s/n, 48960 Galdakao, Vizcaya, Spain

    J. M. Quintana & A. Bilbao

  2. Servicio de Digestivo, Hospital de Galdakao, Galdakao, Vizcaya, Spain

    J. Cabriada

  3. Departamento de Matemática Aplicada, Estadística e Investigación Operativa, Universidad del País Vasco, Lejona, Vizcaya, Spain

    I. Aróstegui

  4. Servicio de Cirugía, Hospital de Santiago, Vitoria, Alava, Spain

    I. López de Tejada

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  1. J. M. Quintana
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  2. J. Cabriada
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  3. I. Aróstegui
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  4. I. López de Tejada
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  5. A. Bilbao
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Correspondence to J. M. Quintana.

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Quintana, J., Cabriada, J., Aróstegui, I. et al. Quality-of-life outcomes with laparoscopic vs open cholecystectomy . Surg Endosc 17, 1118–1124 (2003). https://doi.org/10.1007/s00464-002-9202-2

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