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Date Published: 10/08/2024
Online Published: 10/08/2024
Abstract Views: 6
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DOI: https://doi.org/10.58490/ctump.2024i78.3125
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No. 78 (2024): HỘI NGHỊ KHOA HỌC KỶ NIỆM 10 NĂM THÀNH LẬP TRƯỜNG ĐẠI HỌC Y DƯỢC BUÔN MA THUỘT
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Phan, D. T. D., Le, H. P., & Huynh, Q. T. (2024). EVALUATION OF RESULTS AND QUALITY OF LIFE OF LAPAROSCOPIC GALLBLAST REMOVAL DUE TO ACUTE CHOLECYSTITIS. Cantho Journal of Medicine and Pharmacy, 78, 246-254. https://doi.org/10.58490/ctump.2024i78.3125

EVALUATION OF RESULTS AND QUALITY OF LIFE OF LAPAROSCOPIC GALLBLAST REMOVAL DUE TO ACUTE CHOLECYSTITIS

Dinh Tuan Dung Phan1,, Huu Phuc Le2, Quoc Tam Huynh3
1 Hue University of Medicine and Pharmacy
2 Tam Tri Quang Nam Hospital
3 Son Tra District Medical Center, Da Nang City

Main Article Content

Abstract

Background: Acute cholecystitis is a disease that easily leads to a surgical emergency. However, assessing quality of life after laparoscopic cholecystectomy is unclear. Ojective: To evaluate the outcomes and quality of life of patients after cholecystectomy due to acute cholecystitis. Materials and methods: A prospective and descriptive observation study on 70 patients diagnosed with acute cholecystitis according to Tokyo Guidelines 2018 standards at Hue University of Medicine and Pharmacy Hospital and Hue Central Hospital from January 2022 to December 2023. Results: Overall mean age was 52.79 ± 16.87 years old. Normal BMI accounted for 44.3%. 100% of patients had right upper quadrant abdominal pain, Murphy's test (+) accounted for 84.3%. Leukocytos was ≥ 10 k/µl occurs in 71,4% of patients. Thick-walled gallbladders on ultrasound accounted for 72,9%. 71.4% of patients had mild cholecystitis. The group that had surgery after 72 hours accounted for 62.9%. Average surgery time was 94.42 ± 14.31 minutes. The average hospital stay in the surgery group was 9.30 ± 4.72 days. The severity of cholecystitis is a factor related to the average length of hospital stay. The average gastrointestinal Quality of Life Index (GIQLI) scores of patients one month and three months after surgery were improved compared to before surgery in all areas. Specifically, in terms of quality of life, basic symptoms (85.49 ± 10.44 and 72.50 ± 7.43 compared to 52.75 ± 5.13, p < 0.001), mental health (88.25 ± 12.74 and 81.52 ± 9.60 vs. 54.41 ± 9.26, p < 0.001), physical health (79.10 ± 20.23 and 66.78 ± 14.99 vs. 45, 29 ± 8.24, p < 0.001), social functioning (92.90 ± 7.51 and 77.71 ± 5.72 vs. 58.97 ± 8.06, p < 0.001) and specific symptoms other characteristics (97.05 ± 3.92 and 92.86 ± 3.24 vs. 83.88 ± 3.87, p < 0.001). Conclusion: Laparoscopic cholecystectomy is a safe and effective method for patients with acute cholecystitis who are indicated for surgery. The patient's quality of life after surgery is improved compared to before surgery.

Article Details

Keywords

Acute cholecystitis, laparoscopy, quality of life

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