Costs and quality of life of small-incision open cholecystectomy and laparoscopic cholecystectomy - an expertise-based randomised controlled trial

Rosenmüller, Mats; Nilsson, Erik; Lindberg, Fredrik; Åberg, Sten-Olof; Haapamäki, Markku M

doi:10.1186/s12876-017-0601-1

Cited by 14 publications

(10 citation statements)

References 31 publications

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“…Hence novel techniques such as the Single Incision Laparoscopic Surgery (SILS) or robotic single-site cholecystectomy (RSSC) are increasingly seen as essential and relevant to patient needs. While SILS cholecystectomy is associated with better cosmesis and post-operative pain,26 there is an increased risk of an incisional hernia, and some trials have failed to demonstrate a difference in QoL, despite being a more costly procedure 27. Our study shows that scar cosmesis is not a high priority outcome for patients and future clinical trials to evaluate these newer surgical techniques should focus on the improvement in QoL rather than cosmesis and body image scores.…”

Section: Discussionmentioning

confidence: 71%

Patient reported outcomes in elective laparoscopic cholecystectomy

Mak

Chew

Junnarkar

et al. 2019

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims Traditional outcome measures (e.g., length of hospital stay, morbidity, and mortality) are used to determine the quality of care, but these may not be most important to patients. It is unclear which outcomes matter to patients undergoing elective laparoscopic cholecystectomy (ELC). We aim to identify patient-reported outcome measures (PROM) which patients undergoing ELC valued most. Methods A 45-item questionnaire with Four-point Likert-type questions developed from prior literature review, prospectively administered to patients treated with ELC at a tertiary institution in Singapore. Results Seventy-five patients participated. Most essential factors were technical skill and experience level of a surgeon, long-term quality of life (QoL), patient involvement in decision-making, communication skill of a surgeon, cleanliness of the ward environment, and standards of nursing care. Least important factors were hospitalization leave duration, length of hospital stay, a family's opinion of the hospital, and scar cosmesis. Employed patients were more likely to find hospitalization leave duration ( p <0.001) and procedure duration ( p =0.042) important. Younger patients ( p =0.048) and female gender ( p =0.003) were more likely to perceive scar cosmesis as important. Conclusions Patients undergoing ELC value long-term QoL, surgeon technical skill and experience level, patient involvement in decision-making, surgeon communication skill, cleanliness of the ward environment, and nursing care standards. Day-case surgery, medical leave, family opinion of hospital, and scar cosmesis were least important. Understanding what patients value will help guide patient-centric healthcare delivery.

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Section: Discussionmentioning

confidence: 71%

Patient reported outcomes in elective laparoscopic cholecystectomy

Mak

Chew

Junnarkar

et al. 2019

Ann Hepatobiliary Pancreat Surg

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“…For benign gallbladder disease, minilaparotomy cholecystectomy (MC) provides an excellent alternative to laparoscopic cholecystectomy (LC). When compared to LC, MC is cheaper [7,15] and faster [7] [16]. It is safe in the obese [16] and as an emergency procedure [17].…”

Section: Discussionmentioning

confidence: 99%

“…It is safe in the obese [16] and as an emergency procedure [17]. Research has shown that LC and MC have similar outcomes when looking at mortality [7], complications [7], cosmesis [18], quality of life [15] and same-day surgery rates [19]. When compared to MC, LC offers limited or no advantages to the patient.…”

Section: Discussionmentioning

confidence: 99%

Operating During the COVID-19 Pandemic: An Emerging Indication for Minilaparotomy Cholecystectomy

Milne¹,

Jarvis²,

Franklin³

et al. 2020

Cureus

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COVID-19 has required changes in the practice of surgery to reduce the risk of transmission of the virus. Proposed mitigation strategies include avoidance of aerosol-generating procedures such as laparoscopy. We report two cases where minilaparotomy cholecystectomy was employed to treat benign biliary disease during the pandemic. A review of the literature supports the use of this surgical technique during the COVID-19 pandemic until laparoscopy can be proven to be safe.

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“…Most previous studies on QoL after GSD surgery have concerned surgical approach [12][13][14][15][16] , patient-related factors 4,7 , or timing of the procedure [17][18][19] . Studies on the impact of cultural differences on QoL of patients with pathologies other than GSD have been performed [20][21][22][23] .…”

Section: Discussionmentioning

confidence: 99%

Quality-of-life after cholecystectomy in Kazakhstan and Sweden: comparative study based on the GIQLI questionnaire

Koishibayeva

Turgunov

Sandblom

et al. 2020

Preprint

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Abstract Background: As severe morbidity rarely is the focus in gallstone surgery, health-related quality of life has evolved as the main outcome measure of the management of patients with gallstone disease. The lack of universally accepted guidelines on treatment of gallstone disease has also resulted in great regional differences in the preoperative evaluation and management of patients with gallstone disease.Objective: The aim of this study was to compare quality-of-life following gallstone surgery in cohorts from Kazakhstan and Sweden.Methods: A comparative study on quality-of-life (QoL) after cholecystectomy (CE) in two cohorts from Sweden and Kazakhstan using the Gastrointestinal Quality-of-Life Index (GIQLI) questionnaire. QoL measures of 259 patients in Kazakhstan and 448 patients in Sweden were compared taking into account surgical approach, mode of admission, and indication for surgery. Patients in both cohorts were requested to fill in the GIQLI questionnaire after surgery. Similar routines were applied to ensure high coverage in both countries. Results: The mean overall GIQLI score was higher for patients undergoing cholecystectomy in Sweden than those in Kazakhstan (p<0.01). The same was seen when stratifying for open or laparoscopic surgery (both p<0.05), absence of presence of acute cholecystitis (both p<0.05) and emergency admission (p<0.05), but not in case of planned admission (p=0.54).Conclusions: There were large differences in perceived QoL, even when taking indication for surgery and approach into account. These differences in may be explained by differences in attitudes to health status and treatment expectations. Standardized routines for evaluating the outcome after surgery are needed.

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Costs and quality of life of small-incision open cholecystectomy and laparoscopic cholecystectomy - an expertise-based randomised controlled trial

Cited by 14 publications

References 31 publications

Patient reported outcomes in elective laparoscopic cholecystectomy

Patient reported outcomes in elective laparoscopic cholecystectomy

Operating During the COVID-19 Pandemic: An Emerging Indication for Minilaparotomy Cholecystectomy

Quality-of-life after cholecystectomy in Kazakhstan and Sweden: comparative study based on the GIQLI questionnaire

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