外科ジャーナル

Quality of Life and Level of Anxiety in Patients after Gallbladder Surgery

Abstract

Brigida Sedlak, Zbigniew Lorenc, Maciej Zaniewski, Wiktor Krawczyk, Eugeniusz Majewski, Marzena Kowalska, Urszula Skotnicka, Joanna Kitlas- Polasik and Mateusz Majewski.

Introduction: Cholelithiasis involves the presence of gallstones that form in the biliary tract, usually in the gallbladder. Symptomatic cholelithiasis is an indication for surgical treatment. Quality of life and patient satisfaction following surgery is an important aspect in predicting treatment outcomes.

Aim: Measurement of quality of life, including the level of anxiety state and dynamics of changes of individual components (physical, mental, social, and environmental) over time (from qualifying for operations and the postoperative period, up to 6 months after surgery) in patients undergoing open and laparoscopy cholecystectomy.

Material and methods: The study group consisted of 105 people at the Clinical Department of Surgery, County Hospital in Tychy. The patients were divided into two groups, laparoscopic surgery (n = 83) and classical (n = 22). Tests on selected patients have been carried out before the operation, 1 month after and 6 months after surgery with the "quality of life questionnaire WHOQOL BREF" and "Inventory status and the guild anxiety STAI X1". The results were compared using statistical methods.

Results: In the group treated by laparoscopy better quality of life and lower levels of anxiety were observed after 6 months of treatment. Before surgery and one month after the procedure, significantly lower values of physical and mental disciplines were reported in the group operated laparoscopically than in patients operated by the classical method.

Conclusion: In patients undergoing laparoscopic surgery higher quality of life and lower levels of anxiety in the 6 month follow-up were observed, compared to patients operated conventionally.