Issue: 2015, Vol. 20, No. 4
LIFE STYLE ESTIMATION IN OLD AND ELDERLY PATIENTS AFTER DIFFERENT TYPES OF CHOLECYSTECTOMY IN CONNECTION WITH ACUTE DESTRUCTIVE CHOLECYSTITIS
- Keywords
- acute cholecystitis, laparoscopic cholecystectomy, laparolift, life quality.34
- Abstarct
- Aim - to compare life quality and rehabilitation period duration in patients who undergone the operations by various techniques in connection with acute cholecystitis.Materials and methods. 106 old and elderly patients with acute cholecystitis were enrolled in the study. Average age was amounting to 74,2 ± 4,3 years, among them: men - 17,9%, women - 82,1%. First group included 40 patients who undergone cholecystectomy (CE) by laparotomy, second group included 35 patients who undergone laparoscopic cholecystectomy (LCE) with minimal pressure in abdominal cavity amounting to 6-7 mm mc; third group included 31 patients who undergone LCE by patented fan-shaped laparolift. Life quality of these patients was defined by Health Status Survey SF-36 questionnaire in 6 months after the operation. The duration of the period of time which was necessary for complete return to normal life style was studied.Results. The indices of physical and role functioning, general status, pain intensity, vital activity and psychological health in accordance with the results of SF-36 questionnaire analysis were for certain statistically higher in pa- tients who undergone LCE by laparolift. Total parameters of psychological and physical components and general health status level in points in 6 months after the operation were also more significant in patients who undergone LCE by laparolift. The duration of rehabilitation period in patients who undergone CE was 1,5 times more than in patients who undergone LCE with minimal pressure in abdominal cavity amounting to 6-7 mm mc and almost2,5 times more than in patients who undergone LCE by laparolift.Conclusions. The usage of laparolift in the operations allowed to improve life quality and to shorten rehabilitation period in patients who undergone surgical intervention in connection with acute cholecystitis.
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