Laparoscopic Cholecystectomy: Is It a Conscious Preference among Turkish Patients with Symptomatic Gallstones? — Prospective Study

Abstract

Laparoscopic cholecystectomy (LC) has the advantages of early return to full daily activity, early return to work, and better cosmetic result, as well as quickly resolving pain. Yet how this information about the procedure influences a patient's attitude toward laparocopy is not known. In this study we analyzed the factors that play role in the decision-making process of patients who choose laparoscopic surgery, and we also evaluated patients' knowledge of laparoscopy and their expectations. A questionnaire was used in evaluating 98 patients suffering from symptomatic cholelithiasis scheduled for elective laparoscopic cholecystectomy between January 2001 and January 2002. Females constituted 81% of the study population. Most of the patients (56%) were housewives. While 45% of the patients had an educational status of primary school degree only, 14% had graduated from a university. Forty-three patients described their level of knowledge about laparoscopy as "low" (had only heard about laparoscopy). In 61% of the patients the surgeon was the sole decision maker about the type of the operation. Almost none of the patients had a preference for the time of discharge from the hospital after surgery, and only three of the actively working patients offered a time interval for return to work. From this study we concluded that most patients have inadequate information about laparoscopic surgery, that the type of operation is dictated mostly by the surgeon, and that early discharge and early return to work are not important for many patients.

Comparison of Emergency and Elective Laparoscopic Cholecystectomy in Geriatric Patients

“…Son 2 dekatta safra kesesi hastalığına sahip hastalar için LK vazgeçilmez tedavi seçeneği olmuştur (7). Prosedürün daha kısa hastanede kalış süresi, daha az ağrı ve kısa sürede normal sosyal aktiviteye dönüş gibi avantajları vardır (1,2,8). Ortalama yaşın artması ile birlikte semptomatik safra kesesi taşı olan geriatrik hastaların sıklığı da artmaktadır.…”

Diagnósticos de enfermagem de pacientes em período pós-operatório imediato de cirurgia de colecistectomia laparoscópica

“…A comunicação efetiva é um processo interativo, envolvendo a troca mútua de informações (pensamentos, idéias, sentimentos e percepções) entre duas ou mais pessoas. (CHOK et al, 2004;CINGI et al, 2004).…”