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Comparative Evaluation of the Quality Of Life Of Patients after the Pressible-Transparent Cholecismostomy аnd "Traditional" Cholecismostomy with Thermal Mucoclasion of the Gold Bubble
- Authors: Polyansky M.B.1, Nazarenko D.P.1, Ishunina T.A.1, Kolmykov D.I.1
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Affiliations:
- Kursk State Medical University
- Issue: Vol 10, No 3 (2017)
- Pages: 236-240
- Section: Original articles
- URL: https://vestnik-surgery.com/journal/article/view/1044
- DOI: https://doi.org/10.18499/2070-478X-2017-10-3-236-240
- ID: 1044
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Abstract
Relevance. The number of elderly patients with acute cholecystitis is constantly increasing, in spite of the success achieved in the diagnosis and treatment of this pathology. The possibilities for radical treatment of patients with high operational anesthesia risk are substantially limited.
The aim of the study was to conduct comparative analysis of the quality of life of patients after transcutaneous-transhepaticmicrocholecystostomy and traditional cholecystostomy with thermal mucoclasia of the gallbladder.
Materials and methods. The quality of life of 31 patients with high operational anesthesia risk following transcutaneous-transhepaticmicrocholecystostomy (TTMC) and traditional cholecystostomy with thermal mucoclasia of the gallbladder (TCTMG), was studied. All patients were divided into two groups: the first group consisted of 20 (64.5%) patients who underwent TTMC, the second one included 11 (35.5%) patients who underwent TCTMG. Quality of life of patients was studied with the help of the questionnaire using the SF-36 Health Status Survey 4 months after TTMC or TCTMG. Statistical processing of the results was carried out using the program Microsoft Office Excel -2013.
Results and its discussion. The physical component of health (physical functioning, role functioning due to physical condition, pain intensity, general health) was 64.25% higher in patients of Group II than in patients of Group I (p = 0.001), and the psychological Health component (mental health, role functioning due to emotional state, social functioning, vital activity) was also (68.05%) higher in Group II (p = 0.004).
Conclusions. The use of the method of thermal mucoclasia of the gallbladder in patients with high operational anesthesia risk allows to achieve higher quality indices compared to patients who underwent TTMC, since after demucotization of the gallbladder cavity it is obliterated due to hyperplasia of the connective tissue of the lamina propria or submucosa, thereby finally solving the problem of acute cholecystitis in this category of patients.
About the authors
Maxim Borisovich Polyansky
Kursk State Medical University
Author for correspondence.
Email: polyanscky.maks@yandex.ru
ordinator of the Department of Surgical Diseases of the faculty of post-graduate education
Russian Federation, 305041 Kursk, Karl Marx St. 3, Russian FederationDmitry Petrovich Nazarenko
Kursk State Medical University
Email: nazarenkodp003@yandex.ru
Doct. of Med. Sci., professor of the Department of Surgical Diseases № 2
Russian Federation, 305041 Kursk, Karl Marx St. 3, Russian FederationTatjana Aleksandrovna Ishunina
Kursk State Medical University
Email: polyanscky.maks@yandex.ru
Cand. of Med. Sci., docent of the Department of Histology, Embryology, Cytology
Russian Federation, 305041 Kursk, Karl Marx St. 3, Russian FederationDmitrii Igorevich Kolmykov
Kursk State Medical University
Email: kolmikov.dmitriy@yandex.ru
of the Department of Surgical Diseases № 2
Russian Federation, 305041 Kursk, Karl Marx St. 3, Russian FederationReferences
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