Medium-term surgical outcomes and health-related quality of life after laparoscopic vs open colorectal cancer resection: SF-36 health survey questionnaire

被引：3

作者：

Hung, Chao-Ming ^{[1
,2
]}

Hung, Kuo-Chuan ^{[3
,4
]}

Shi, Hon-Yi ^{[5
,6
,7
,8
]}

Su, Shih-Bin ^{[9
,10
,11
]}

Lee, Hui-Ming ^{[1
,12
]}

Hsieh, Meng-Che ^{[12
,13
]}

Tseng, Cheng-Hao ^{[2
,14
,15
]}

Lin, Shung-Eing ^{[16
]}

Chen, Chih-Cheng ^{[12
,14
]}

Tseng, Chao-Ming ^{[12
,14
,15
]}

Tsai, Ying-Nan ^{[2
,14
]}

Chen, Chi-Zen ^{[14
]}

Tsai, Jung-Fa ^{[12
,17
]}

Chiu, Chong-Chi ^{[1
,2
,18
,19
]}

机构：

[1] I Shou Univ, E Da Canc Hosp, Dept Gen Surg, 21 Yi Da Rd, Kaohsiung 82445, Taiwan

[2] I Shou Univ, Coll Med, Sch Med, Kaohsiung 82445, Taiwan

[3] Chi Mei Med Ctr, Dept Anesthesiol, Tainan 71004, Taiwan

[4] Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm, Coll Recreat & Hlth Management, Tainan 71710, Taiwan

[5] Kaohsiung Med Univ, Dept Healthcare Adm & Med Informat, Kaohsiung 80708, Taiwan

[6] Natl Sun Yat Sen Univ, Dept Business Management, Kaohsiung 80424, Taiwan

[7] Kaohsiung Med Univ Hosp, Dept Med Res, Kaohsiung 80756, Taiwan

[8] China Med Univ, China Med Univ Hosp, Dept Med Res, Taichung 40402, Taiwan

[9] Chi Mei Med Ctr, Dept Occupat Med, Liouying 73657, Taiwan

[10] Chi Mei Med Ctr, Dept Occupat Med, Tainan 71004, Taiwan

[11] Southern Taiwan Univ Sci & Technol, Dept Leisure Recreat & Tourism Management, Tainan 71005, Taiwan

[12] I Shou Univ, Coll Med, Kaohsiung 82445, Taiwan

[13] I Shou Univ, E Da Canc Hosp, Dept Hematol Oncol, Kaohsiung 82445, Taiwan

[14] I Shou Univ, E Da Canc Hosp, Dept Gastroenterol & Hepatol, Kaohsiung 82445, Taiwan

[15] I Shou Univ, E Da Hosp, Dept Gastroenterol & Hepatol, Kaohsiung 82445, Taiwan

[16] I Shou Univ, E Da Canc Hosp, Dept Colon & Rectal Surg, Kaohsiung 82445, Taiwan

[17] I Shou Univ, E Da Dachang Hosp, Dept Gastroenterol & Hepatol, Kaohsiung 80794, Taiwan

[18] I Shou Univ, E Da Canc Hosp, Dept Med Educ & Res, Kaohsiung 82445, Taiwan

[19] Chi Mei Med Ctr, Dept Gen Surg, Liouying 73657, Taiwan

来源：

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY | 2023年 / 15卷 / 03期

关键词：

Health-related quality of life; Medium-term result; Laparoscopic; Open surgery; Non-metastatic colorectal cancer; URINARY-TRACT-INFECTION; OPEN COLECTOMY; RECTAL-CANCER; OPEN SURGERY; INCISIONAL HERNIAS; RISK-FACTORS; COMPLICATIONS; RETENTION; ADHESIONS; COLON;

D O I：

10.4253/wjge.v15.i3.163

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

BACKGROUNDPrevious studies that compared the postoperative health-related quality of life (HRQoL) outcomes after receiving laparoscopic resection (LR) or open resection (OR) in patients with colorectal cancer (CRC) have different conclusions.AIMTo explore the medium-term effect of postoperative HRQoL in such patients.METHODSThis study randomized 567 patients undergoing non-metastatic CRC surgery managed by one surgeon to the LR or OR groups. HRQoL was assessed during the preoperative period and 3, 6, and 12 mo postoperative using a modified version of the 36-Item Short Form (SF-36) Health Survey questionnaire, emphasizing eight specific items.RESULTSThis cohort randomly assigned 541 patients to receive LR (n = 296) or OR (n = 245) surgical procedures. More episodes of postoperative urinary tract infection (P < 0.001), wound infection (P < 0.001), and pneumonia (P = 0.048) were encountered in the OR group. The results demonstrated that the LR group subjectively gained mildly better general health (P = 0.045), moderately better physical activity (P = 0.006), and significantly better social function recovery (P = 0.0001) 3 mo postoperatively. Only the aspect of social function recovery was claimed at 6 mo, with a significant advantage in the LR group (P = 0.001). No clinical difference was found in HRQoL during the 12 mo.CONCLUSIONOur results demonstrated that LR resulted in better outcomes, including intra-operative blood loss, surgery-related complications, course of recovery, and especially some health domains of HRQoL at least within 6 mo postoperatively. Patients should undergo LR if there is no contraindication.

引用

页码：163 / 176

页数：14

共 34 条

[21] THE MOS 36-ITEM SHORT-FORM HEALTH SURVEY (SF-36) .3. TESTS OF DATA QUALITY, SCALING ASSUMPTIONS, AND RELIABILITY ACROSS DIVERSE PATIENT GROUPS [J].