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ASSESSMENT OF THE QUALITY OF LIFE OF PATIENTS AFTER CHOLECYSTECTOMY, DEPENDING ON THE TYPE OF SURGICAL ACCESS AND THE NATURE OF THE DISEASE

Yu.A. Sobolev1,2, A.I. Belyaeva2, V.I. Davydkin3, R.I. Fedulov3

1ГАУЗ «Городская клиническая больница им. Н.И. Пирогова» г. Оренбурга; 2ФГБОУ ВО «Оренбургский государственный медицинский университет» Министерства здравоохранения Российской Федерации; 3ФГБОУ ВО «Национальный исследовательский Мордовский государственный

Abstract

The prevalence of cholelithiasis among the working population ranges from 10 to 20 %. Cholecystectomy ranks first in frequency among surgical interventions. The purpose of this work is to assess the quality of life in patients with cholelithiasis 6 month after cholecystectomy. The study was conducted on the basis of three medical institutions in the Russian Federation. The patient groups were homogeneous in their composition, and the quality of life was assessed using the Gallstone Impact Checklist. The groups were compared depending on the type of operative access (laparoscopic, mini-access), and depending on the nature of the disease (symptomatic and asymptomatic variants). The results were calculated as the average calculated value ± standard deviation. The following results were obtained, which show that cholecystectomy significantly reduces the quality of life of patients. Laparoscopic access is more preferable in the presence of pain syndrome, as the main factor in reducing the quality of life. Mini-access surgery is not accompanied by a deterioration in the quality of life in patients with pain and dyspeptic syndromes, but it improves the emotional and volitional sphere of human activity.

Keywords

cholelithiasis, cholecystectomy, laparoscopic access, mini-access, surgical interventions, quality of life, dyspepsia scale.

Contacts

Соболев Юрий Анатольевич – к. м. н., доцент кафедры факультетской хирургии, Оренбургский государственный медицинский университет, e-mail: y_sobolev@mail.ru