Real Benefits of the Laparoscopic Approach

  • Pietro LombariEmail author
  • Nicola Carlomagno
  • Gabriele Ricci
  • Lorenzo Asciore
  • Luca Lazzaro
  • Antonio Iannucci


Classical outcome measures (mortality and complications) have to be considered to compare surgical treatments. As no significant differences between laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) were found in classical outcome measures, it is justified to consider health-related quality of life (HRQoL) an important secondary outcome measure. Indeed quality of life (QoL), symptoms resolution, duration of convalescence, and patient satisfaction and well-being are at least as important as the classical outcomes from a patient’s point of view. Instruments for measuring HRQoL may be disease specific or generic. We pointed out our attention to QoL considering these main topics: effectiveness of LC, comparison to OC, comparison to small-incision laparotomic cholecystectomy (SC), and impact of iatrogenic bile duct injury (BDI). In conclusion LC is an effective operation for the treatment of biliary disease-related symptoms in patients with cholelithiasis. LC improves QoL faster than OC, while long-term results are quite similar. When comparing QoL after LC and SC, the perception of health immediately after surgery is slightly better for patients treated with laparoscopic procedure, but the gain in QoL is small and of a very limited duration.


Laparoscopic Cholecystectomy Bile Duct Injury Open Cholecystectomy Nottingham Health Profile Karnofsky Performance Scale 
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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Pietro Lombari
    • 1
    Email author
  • Nicola Carlomagno
    • 2
  • Gabriele Ricci
    • 3
  • Lorenzo Asciore
    • 2
  • Luca Lazzaro
    • 4
  • Antonio Iannucci
    • 1
  1. 1.Department of General Surgery OncologyAORN Azienda Ospedaliera Sant’Anna e San SebastianoCasertaItaly
  2. 2.Department of General SurgeryAOU Federico IINaplesItaly
  3. 3.Department of General SurgeryAzienda Ospedaliera San Camillo ForlaniniRomeItaly
  4. 4.Department of General SurgeryP.O. San Tommaso dei BattutiPortogruaroItaly

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