Elective laparoscopic cholecystectomy for symptomatic uncomplicated gallstone disease: do the symptoms disappear?

Lill, Sven; Rantala, Arto; Karvonen, Jukka; Pölönen, Tuukka; Grönroos, Juha

doi:10.1007/s00464-013-3391-8

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…We reported a high overall satisfaction rate (96%) following cholecystectomy in respondents (with 71% reporting being “ very satisfied ”), which is comparable to rates ≥88% reported in other studies of cholecystectomy patients [10, 14–16]. In a high‐volume centre such as ours [17], this surgical experience can have substantial benefits in surgical outcomes, particularly for high‐risk patients.…”

Section: Discussionsupporting

confidence: 81%

“…However, this was not observed within our sample (Table 2), which could be expected within a routinely day‐case procedure. Furthermore, few (15%) of patients reported recurrent symptoms compared to other studies reporting recurrence in up to 40% of patients [10, 30, 31]. However, as these studies involved longer periods of follow‐up, patients may yet develop symptoms in the future.…”

Section: Discussionmentioning

confidence: 92%

“…The electronic patient record was used to obtain sociodemographic, clinical, and contact information. PROMs were assessed using combined general (EQ‐5D‐5L [8]) and condition‐specific [9, 10] questionnaires (Appendix 1) and focussed on post‐operative symptoms, post‐operative function, and satisfaction. A questionnaire was sent via post to the home address of each patient and was supplemented by a telephone interview.…”

Section: Methodsmentioning

confidence: 99%

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The Influence of Clinical and Patient‐Reported Outcomes on Post‐surgery Satisfaction in Cholecystectomy Patients

et al. 2017

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BackgroundPatient-reported outcomes (PROMs) and post-operative satisfaction have become a growing focus of surgical outcome evaluation and are considered key components of the movement towards patient-centred care. The aim was to compare the association of traditional clinical outcome measures and PROMs with post-surgery satisfaction in cholecystectomy patients. MethodsPatients who had undergone elective or emergency cholecystectomy for gallstone disease were sent validated PROM questionnaires, and telephone follow-up was performed in all cases. Categorical data were compared with the Chi-square and Fisher’s exact tests. Satisfaction was investigated using a “top-box” approach, and multivariable logistic regression was performed for factors significantly (p < 0.05) associated with satisfaction in univariable analyses. ResultsA total of 234 patients underwent cholecystectomy between 1 March 2014 and 1 May 2014, and 147 patients (63%) completed the questionnaire. 104/147 (71%) reported being “very satisfied” with their surgical outcome. In univariable analyses, satisfaction showed significant association with an absence of hospital-recorded 30-day complications (OR = 4.11, 95% CI 1.29–13.84), but not re-attendance, readmission, or length of stay. In a multiple regression analysis, no traditional clinical outcome measures were associated with satisfaction. By contrast, self-perceived health (OR = 4.04, 95% CI 1.44–11.86), the absence of patient-reported wound pain (OR = 6.11, 95% CI 1.83–21.74), and a return to normal leisure activities (OR = 11.14, 95% CI 2.61–55.26) were associated with satisfaction.ConclusionPROMs are the major determinants of patient satisfaction following cholecystectomy. When assessing outcomes following cholecystectomy, the measurement of clinical outcomes alone is inadequate and should be supplemented by the use of PROMs.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

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The Influence of Clinical and Patient‐Reported Outcomes on Post‐surgery Satisfaction in Cholecystectomy Patients

et al. 2017

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“…Three large studies showed similar proportions of persistent symptoms, viz. 37 [31], 40.4 [19], and 59.5% [32]. Previous literature suggests that if the preoperative assessment is standardized and other possible causes of abdominal symptoms are ruled out, the postoperative symptomatic outcome is significantly improved [33,34].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of dyspepsia in patients with cholecystolithiasis: a systematic review and meta-analysis

Latenstein¹,

Jong

Eppink

et al. 2019

European Journal of Gastroenterology &Amp; Hepatology

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Cholecystolithiasis and functional gastrointestinal disorders are both highly prevalent in the industrialized world and may exist concomitantly. The presence of both conditions impedes identification of the source of symptoms, leading to a risk of ineffective cholecystectomies with lack of symptom resolution. We carried out a systematic review and meta-analysis to determine the prevalence of dyspepsia in patients with uncomplicated cholecystolithiasis. The electronic databases Medline, Embase, and Web of Science were searched for articles reporting the prevalence of dyspepsia in adults (≥18 years) with uncomplicated cholecystolithiasis. Pooled prevalence and 95% confidence interval were calculated. I 2 statistics were used to determine heterogeneity and the Methodological Evaluation of Observational Research criteria were applied for quality assessment. The study was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Of the 1696 studies evaluated, 13 reported the prevalence of dyspepsia in a total of 1227 cholecystolithiasis patients seeking medical care. The pooled prevalence of dyspepsia in patients with cholecystolithiasis was 65.7% (95% confidence interval: 51-79%). However, heterogeneity was large across studies. Overall, three studies used validated diagnostic criteria. Variation in diagnostic measures significantly influenced the prevalence of dyspepsia. In conclusion, symptoms similar to those of functional gastrointestinal disorders are common in patients with cholecystolithiasis, obscuring the source of abdominal complaints. Tools to select patients who will benefit from cholecystectomy are paramount to prevent ineffective surgery.

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“…A colelitíase é a doença mais prevalente da árvore biliar, responsável pela maior parte das cirurgias eletivas realizadas anualmente 1,2 . É caracterizada principalmente por queixas abdominais e tem como principal tratamento a colecistectomia videolaparoscópica 3,4 , atualmente recomendada precocemente na ausência de contraindicações com o objetivo de prevenir complicações relacionadas à doença e recorrência dos sintomas 5 .…”

Section: Introductionunclassified

Câncer incidental de vesícula biliar: qual a prevalência e como operamos a colecistectomia por doença presumidamente benigna?

Silva

Veloso

Valadares

et al. 2022

Rev. Col. Bras. Cir.

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RESUMO Objetivos: determinar a prevalência de câncer incidental de vesícula biliar (CIVB) em colecistectomias realizadas em um hospital público terciário e descrever aspectos técnicos e epidemiológicos na realização de colecistectomias por doença presumidamente benigna. Método: estudo observacional descritivo, retrospectivo, a partir da análise de prontuários de pacientes submetidos à colecistectomia com hipótese pré-operatória de doença benigna entre janeiro de 2018 e janeiro de 2022. Resultados: a prevalência de adenocarcinoma de vesícula biliar na amostra avaliada foi de 0,16%, semelhante aos dados da literatura mundial. Os aspectos técnicos durante a realização da colecistectomia também foram descritos com frequência semelhante ao encontrado na literatura. Conclusão: o CIVB é uma doença rara mas de importância relevante na rotina do Cirurgião Geral. Seu diagnóstico, estadiamento e tratamento implicam diretamente no prognóstico. Aspectos técnicos durante a realização da colecistectomia nem sempre são lembrados pelos cirurgiões e podem interferir no prognóstico e tratamento subsequente do paciente.

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Elective laparoscopic cholecystectomy for symptomatic uncomplicated gallstone disease: do the symptoms disappear?

Cited by 9 publications

References 14 publications

The Influence of Clinical and Patient‐Reported Outcomes on Post‐surgery Satisfaction in Cholecystectomy Patients

The Influence of Clinical and Patient‐Reported Outcomes on Post‐surgery Satisfaction in Cholecystectomy Patients

Prevalence of dyspepsia in patients with cholecystolithiasis: a systematic review and meta-analysis

Câncer incidental de vesícula biliar: qual a prevalência e como operamos a colecistectomia por doença presumidamente benigna?

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