The quality of life of patients after biliary reconstruction for laparoscopic injuries may be comparable to that of patients after laparoscopic cholecystectomy.
In this study, investigators from the United States examined the records of 59 consecutive patients who underwent surgical reconstruction of the biliary tract after laparoscopic cholecystectomy.
The Hepp-Couinaud technique or Roux-en-Y hepaticojejunostomy was used in 53 patients. Other procedures included cholangiojejunostomy, choledochorrhaphy, and hepaticoduodenostomy.
The team mailed a quality-of-life questionnaire to each patient, as well as to matched patients who underwent uneventful laparoscopic cholecystectomy.
|81% of subjects responded to the questionnaires.|
|Archives of Surgery|
The team also gathered data from the general population
The minimum time of follow-up was 5 years.
Overall, 81% of subjects responded to the questionnaires.
The questionnaire measured physical functioning, role-physical, bodily pain, general health perceptions, vitality, social functioning, role-emotional, and mental health.
The team determined that the scores for all 8 variables measured by the questionnaire were similar in the patients, matched controls and the general population.
The standardized physical component scale was also similar between the cases and controls.
Dr Juan Sarmiento's team concluded, "With a minimum of 5 years of follow-up, the quality of life after surgical biliary reconstruction compares favorably with that of both patients undergoing uneventful laparoscopic cholecystectomy and national norms".