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 18 November 2017

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News

Quality of life after laparoscopic vs open colorectal surgery

A systematic review reported in the latest Colorectal Disease examines quality of life following laparoscopic and open colorectal surgery.

News image

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Dr Dowson and colleagues from the United Kingdom compared the health-related quality of life of patients following laparoscopic and open colorectal surgery.

The team performed a systematic review according to Quorum guidelines.

Prospective studies comparing the health-related quality of life of patients after laparoscopic and open colorectal surgery were identified.

The primary outcome measure was postoperative quality of life; performance status and cosmesis were secondary outcome measures.

3 studies assessing cosmesis reported benefits with the laparoscopy
Colorectal Disease

The researchers identified 23 studies that satisfied the inclusion criteria, of which 18 assessed health-related quality of life, 4 performance status, and 3 cosmesis.

It was not possible to perform a meta-analysis due to study heterogeneity.

The team reported outcomes for 2946 patients.

The most frequent health-related quality of life instruments employed were Short Form 36, European Organization for Research and Treatment of Cancer, and gastrointestinal quality of life index.

The researchers identified 6 studies, using a total of 12 separate measures, evaluated quality of life during the first 3 postoperative months.

The research team noted that 10 of these measures showed no significant difference, and 2 showed an improved health-related quality of life with laparoscopy.

The team found a further 12 studies that evaluated health-related quality of life up to 5 years postoperatively.

There were 9 studies showing no difference between the 2 groups, and 3 demonstrated a benefit for laparoscopy.

The team identified 3 of 4 studies assessing performance status on discharge, and all 3 studies assessing cosmesis, reported benefits with the laparoscopic approach.

Dr Dowson’s team concluded, “The current evidence suggests there is no significant difference in health-related quality of life following laparoscopic and open colorectal surgery, although there is a lack of good quality data.”

“There is a trend towards improved quality of life outcomes and performance status with laparoscopy in the early postoperative period.”

“There is a need for further research, particularly assessing quality of life in the early postoperative period.”

Col Dis 2008: 10(8): 757-68


24 September 2008

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