Quality of life from a randomized trial of laparoscopic or open liver resection for colorectal liver metastases

被引：46

作者：

Fretland, A. A. ^{[1
,2
,8
]}

Dagenborg, V. J. ^{[3
,4
,8
]}

Bjornelv, G. M. Waaler ^{[1
,9
]}

Aghayan, D. L. ^{[1
,8
,14
]}

Kazaryan, A. M. ^{[1
,11
,13
,14
]}

Barkhatov, L. ^{[1
,8
,12
]}

Kristiansen, R. ^{[1
,5
]}

Fagerland, M. W. ^{[7
]}

Edwin, B. ^{[1
,2
,8
]}

Andersen, M. H. ^{[6
,10
]}

机构：

[1] Oslo Univ Hosp, Intervent Ctr, Postbox 4950 Nydalen, N-0424 Oslo, Norway

[2] Oslo Univ Hosp, Dept Hepatopancreatobiliary Surg, Oslo, Norway

[3] Oslo Univ Hosp, Dept Tumour Biol, Oslo, Norway

[4] Oslo Univ Hosp, Dept Gastroenterol Surg, Oslo, Norway

[5] Oslo Univ Hosp, Dept Informat Technol, Oslo, Norway

[6] Oslo Univ Hosp, Dept Transplantat Med, Oslo, Norway

[7] Oslo Univ Hosp, Oslo Ctr Biostat & Epidemiol, Res Support Serv, Oslo, Norway

[8] Univ Oslo, Inst Clin Med, Oslo, Norway

[9] Univ Oslo, Inst Hlth Management & Hlth Econ, Oslo, Norway

[10] Univ Oslo, Inst Hlth & Soc, Oslo, Norway

[11] Fonna Hosp Trust, Dept Surg, Stord, Norway

[12] Haukeland Hosp, Dept Gastrointestinal Surg, Bergen, Norway

[13] IM Sechenov First Moscow State Med Univ, Dept Fac Surg 2, Moscow, Russia

[14] Yerevan State Med Univ M Heratsi, Dept Surg 1, Yerevan, Armenia

来源：

BRITISH JOURNAL OF SURGERY | 2019年 / 106卷 / 10期

关键词：

OPEN SURGERY; CANCER; HEALTH; CHEMOTHERAPY; HEPATECTOMY; SURVIVAL; OUTCOMES; TIME;

D O I：

10.1002/bjs.11227

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background Most treatments for cancer cause a decline in patients' health-related quality of life (HRQoL). Limiting this decline is a universal goal for healthcare providers. Using minimally invasive instead of open surgical techniques might be one way to achieve this. The aim of this study was to compare postoperative HRQoL after open and laparoscopic liver resection. Methods This was a predefined substudy of an RCT comparing open with laparoscopic liver resection. Patients with colorectal liver metastases were assigned randomly to open or laparoscopic parenchyma-sparing liver resection. HRQoL was assessed with the Short Form 36 questionnaire at baseline, and 1 and 4 months after surgery. Results A total of 280 patients were randomized, of whom 273 underwent surgery (129 laparoscopic, 144 open); 682 questionnaires (83.3 per cent) were available for analysis. One month after surgery, patients in the laparoscopic surgery group reported reduced scores in two HRQoL domains (physical functioning and role physical), whereas those in the open surgery group reported reduced scores in five domains (physical functioning, role physical, bodily pain, vitality and social functioning). Four months after surgery, HRQoL scores in the laparoscopic group had returned to preoperative levels, whereas patients in the open group reported reduced scores for two domains (role physical and general health). The between-group difference was statistically significant in favour of laparoscopy for four domains after 1 month (role physical, bodily pain, vitality and social functioning) and for one domain after 4 months (role physical). Conclusion Patients assigned to laparoscopic liver surgery reported better postoperative HRQoL than those assigned to open liver surgery. For role limitations caused by physical health problems, patients in the laparoscopic group reported better scores up to 4 months after surgery. Registration number: NCT01516710 ().

引用

页码：1372 / 1380

页数：9

共 34 条

[1] Quality of life after randomization to laparoscopic versus open living donor nephrectomy: Long-term follow-up [J].