![]() įor as commonly performed surgery as LC, little evidence has been reported on postoperative changes in QoL. QoL assessment allows further research and modification of a specific surgical procedure. Hence, patient-reported outcomes, such as pain and QoL, are essential considerations from a surgeon’s perspective in opting for a surgical procedure. The core purpose is to determine the patient’s satisfaction level pre and postoperatively and, repeatedly thereafter, accurately assess the effectiveness of an intervention in terms of long-term well-being. Postoperative recovery and quality of life (QoL) are essential components that predict a patient’s hospital stay, return to physical strength, emotional status, and routine activities, as well as define the financial burden on the patient and healthcare facility. Despite its acknowledged worth, a conceptual definition of this term is lacking Broadly, it entails the physical, emotional, and social functioning status of the human body. Health-related quality of life (HRQoL), a rather unknown aspect two decades ago, is now a vital component of medical research. LC has been proven to be a safe procedure with a mortality rate of 0.22-0.4%. LC offers benefits over the open procedure in terms of reduced postoperative pain, reduced analgesic requirement, better cosmesis, shorter hospital stay, and earlier recovery, with fewer postoperative complications and mortality. In Pakistan, such a procedure was first performed in 1991 by Dr. It has now become the second most common general surgical procedure post-appendectomy. Since the first laparoscopic cholecystectomy (LC) performed by Mouret in France in 1987, it has gained acceptance as the gold standard for the management of uncomplicated symptomatic cholelithiasis. With the advent of laparoscopic surgery, approximately 90% of elective and 70% of emergency cholecystectomies are performed laparoscopically. Ĭholecystectomy is one of the most common surgical procedures performed worldwide, with >750,000 cases in the United States reported annually. Symptoms occur in only 10-30% of the patients, and 1-4% of patients per year are at risk of developing complications. The incidence of gallstone formation increases with age. This gender difference is attributable to estrogen, which increases biliary cholesterol secretion. In the United States, 6.5% of males and 10.5% of females have gallstones. In Pakistan, 10.2% of the population has gallstones. The Asian and African populations show a lower prevalence. Cholelithiasis affects 5-22% of the Western population. In other words, it can be categorized as lithogenic state, asymptomatic gallstones, symptomatic gallstones, and complicated gallstones. Gallstone disease (cholelithiasis) is a wide spectrum of conditions, ranging from asymptomatic cholelithiasis, biliary colic, empyema gallbladder, and gangrene to perforation and peritonitis. The mean improvement in QoL after LC in patients with symptomatic cholelithiasis is significantly higher when compared with pretreatment. GIQLI scores were 94.64 ± 2.24 for pre-treatment and 106.09 ± 2.40 for post-treatment, with a mean change of 11.44 ± 3.29, and a p-value of 0.001, showing a significant difference. ![]() Overall, 44.29% (n = 31) of patients were men and 55.71% (n = 39) were women. In our study, among the 70 patients undergoing LC, 20% (n = 14) were aged 18-30 years and 80% (n = 56) were aged 31-60 years, with the mean ± standard deviation calculated as 41.56 ± 10.13 years. ![]() All data were collected, and GIQLI scores were calculated for individual patients. This study aimed to determine the mean improvement in the quality of life (QoL) after laparoscopic cholecystectomy (LC) in patients with symptomatic cholelithiasis.Īfter obtaining approval from the hospital’s ethical committee, the Gastrointestinal Quality of Life Index (GIQLI) proforma was filled on admission (T0) and at week six (T1) postoperatively. ![]()
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