Quality of life after iatrogenic bile duct injury: a case control study.
AuthorsHogan, Aisling M
Winter, Desmond C
Ridgway, Paul F
Geoghegan, Justin G
AffiliationSt. Vincent's University Hospital, Dublin, Ireland.
Bile Duct Diseases/*etiology
Cholecystectomy, Laparoscopic/*adverse effects
Health Status Indicators
*Quality of Life
MetadataShow full item record
CitationAnn Surg. 2009 Feb;249(2):292-5.
JournalAnnals of surgery
AbstractOBJECTIVE: To compare quality of life (QOL) of patients following iatrogenic bile duct injuries (BDI) to matched controls. SUMMARY BACKGROUND DATA: BDI complicate approximately 0.3% of all cholecystectomy procedures. The literature regarding impact on quality of life is conflicted as assessment using clinical determinants alone is insufficient. METHODS: The medical outcomes study short form 36 (SF-36), a sensitive tool for quantification of life quality outcome, was used. The study group of iatrogenic BDI was compared with an age- and sex-matched group who underwent uncomplicated cholecystectomy. Telephone questionnaire using the SF-36 quality of life tool was administered to both groups at a median postoperative time of 12 years 8 months (range, 2 months -20 years). RESULTS: Seventy-eight patients were referred with BDI but due to mortality (n = 10) and unavailability (n = 6) 62 participated. The age- and sex-matched control cohort had undergone uncomplicated cholecystectomy (n = 62). Comparison between groups revealed that 7 of 8 variables examined were statistically similar to those of the control group (physical functioning, role physical, bodily pain, general health perceptions, vitality and social functioning, and mental health index). Mean role emotional scores were slightly worse in the BDI group (46 vs. 50) but the significance was borderline (P = 0.045). Subgroup analysis by method of intervention for BDI did not demonstrate significant differences. CONCLUSION: Quality of life of surviving patients following BDI compares favorably to that after uncomplicated laparoscopic cholecystectomy.
- Quality-of-life assessment of surgical reconstruction after laparoscopic cholecystectomy-induced bile duct injuries: what happens at 5 years and beyond?
- Authors: Sarmiento JM, Farnell MB, Nagorney DM, Hodge DO, Harrington JR
- Issue date: 2004 May
- Impact of bile duct injury after laparoscopic cholecystectomy on quality of life: a longitudinal study after multidisciplinary treatment.
- Authors: de Reuver PR, Sprangers MA, Rauws EA, Lameris JS, Busch OR, van Gulik TM, Gouma DJ
- Issue date: 2008 Aug
- Long-term detrimental effect of bile duct injury on health-related quality of life.
- Authors: Moore DE, Feurer ID, Holzman MD, Wudel LJ, Strickland C, Gorden DL, Chari R, Wright JK, Pinson CW
- Issue date: 2004 May
- Quality of life after iatrogenic bile duct injury - a case control study.
- Authors: Karvonen J, Grönroos JM, Mäkitalo L, Koivisto M, Salminen P
- Issue date: 2013 Jun
- Survival in bile duct injury patients after laparoscopic cholecystectomy: a multidisciplinary approach of gastroenterologists, radiologists, and surgeons.
- Authors: de Reuver PR, Rauws EA, Bruno MJ, Lameris JS, Busch OR, van Gulik TM, Gouma DJ
- Issue date: 2007 Jul