Immediate improval in quality of life after laparoscopic cholecystectomy

E. Eypasch II. Department of Surgery, University of Cologne, Kliniken der Stadt, Köln, Germany; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Sunnybrook Medical Center, University of Toronto, North York, Ontario, Canada

H. Troidl II. Department of Surgery, University of Cologne, Kliniken der Stadt, Köln, Germany; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Sunnybrook Medical Center, University of Toronto, North York, Ontario, Canada

S. Wood-Dauphinee II. Department of Surgery, University of Cologne, Kliniken der Stadt, Köln, Germany; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Sunnybrook Medical Center, University of Toronto, North York, Ontario, Canada

J. I. Williams II. Department of Surgery, University of Cologne, Kliniken der Stadt, Köln, Germany; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Sunnybrook Medical Center, University of Toronto, North York, Ontario, Canada

W. Spangenberger II. Department of Surgery, University of Cologne, Kliniken der Stadt, Köln, Germany; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Sunnybrook Medical Center, University of Toronto, North York, Ontario, Canada

B. M. Ure II. Department of Surgery, University of Cologne, Kliniken der Stadt, Köln, Germany; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Sunnybrook Medical Center, University of Toronto, North York, Ontario, Canada

E. Neugebauger II. Department of Surgery, University of Cologne, Kliniken der Stadt, Köln, Germany; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Sunnybrook Medical Center, University of Toronto, North York, Ontario, Canada

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Abstract

Quality of life (QOL) was assessed in gallstone disease using a newly developed index (GIQL) which was applied before and after laparoscopic (n = 158) or conventional (n = 21) cholecystectomy and compared to 70 healthy persons. A significant correlation (Pearson's R > 0.8) to available indices was found. On the scale from 0 (worst QOL) to 128 (no impairment of QOL), patients before laparoscopic cholecystectomy had a score of 85.3 (±17). Post-operatively, it rose to 102.7 (±17) (P < 0.003) at 2 weeks and to 111.4 (±14) (P = 0.003) at 6 weeks (normals: 107.6 points; ±17 NS). Patients after conventional cholecystectomy had a significant increase from 89.9 (±17) post-surgery to 102.8 (±24) points but not before 6 weeks after surgery. These results were confirmed with respect to typical symptoms of gallstone disease. We conclude that a simple index can demonstrate that laparoscopic cholecystectomy results in immediate post-operative improval in quality of life.

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Immediate improval in quality of life after laparoscopic cholecystectomy

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Immediate improval in quality of life after laparoscopic cholecystectomy

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