Quality of Life after Laparoscopic and Open Resection of Colorectal Cancer
Background: The aim of the study was to evaluate quality of life (QOL) outcomes after colorectal surgery for cancer from a 6-month perspective at a single institution. Methods: Cohort study to prospectively assess postoperative QOL in patients who underwent elective colorectal resection at the Unive...
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| Veröffentlicht in: | Digestive surgery 2014-01, Vol.31 (3), p.161-168 |
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| creator | Ihnát, Peter Martínek, Lubomír Mitták, Marcel Vávra, Petr Ihnát Rudinská, Lucia Zonča, Pavel |
| description | Background: The aim of the study was to evaluate quality of life (QOL) outcomes after colorectal surgery for cancer from a 6-month perspective at a single institution. Methods: Cohort study to prospectively assess postoperative QOL in patients who underwent elective colorectal resection at the University Hospital Ostrava. QOL was assessed using the validated Short Form 36 (SF-36v2™) questionnaire at fixed time points. Results: A total of 148 patients were enrolled in the study (83 and 65 patients underwent laparoscopic and open colorectal resection, respectively). Operative time was significantly longer (161 vs. 133 min; p = 0.0073) and length of hospital stay was significantly shorter (10.7 vs. 13.1 days; p = 0.0451) in the laparoscopic group. Overall 30-day morbidity rates were lower in the laparoscopic group, but the difference was not significant (27.7 vs. 33.8%; p = 0.2116). QOL scores were comparable in both study groups before surgery (p ≥ 0.05). QOL was statistically significantly lower 2 days and 1 week after open colorectal surgery compared with laparoscopic surgery. One month and 6 months after surgery, there were no statistically significant differences between groups. Conclusion: The present study suggests a higher postoperative QOL during the first month after laparoscopic colorectal resection could be one of the benefits of laparoscopy. |
| doi_str_mv | 10.1159/000363415 |
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Methods: Cohort study to prospectively assess postoperative QOL in patients who underwent elective colorectal resection at the University Hospital Ostrava. QOL was assessed using the validated Short Form 36 (SF-36v2™) questionnaire at fixed time points. Results: A total of 148 patients were enrolled in the study (83 and 65 patients underwent laparoscopic and open colorectal resection, respectively). Operative time was significantly longer (161 vs. 133 min; p = 0.0073) and length of hospital stay was significantly shorter (10.7 vs. 13.1 days; p = 0.0451) in the laparoscopic group. Overall 30-day morbidity rates were lower in the laparoscopic group, but the difference was not significant (27.7 vs. 33.8%; p = 0.2116). QOL scores were comparable in both study groups before surgery (p ≥ 0.05). QOL was statistically significantly lower 2 days and 1 week after open colorectal surgery compared with laparoscopic surgery. One month and 6 months after surgery, there were no statistically significant differences between groups. Conclusion: The present study suggests a higher postoperative QOL during the first month after laparoscopic colorectal resection could be one of the benefits of laparoscopy.</description><identifier>ISSN: 0253-4886</identifier><identifier>EISSN: 1421-9883</identifier><identifier>DOI: 10.1159/000363415</identifier><identifier>PMID: 24992997</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Aged ; Cohort Studies ; Colectomy - adverse effects ; Colectomy - methods ; Colorectal cancer ; Colorectal Neoplasms - pathology ; Colorectal Neoplasms - surgery ; Czech Republic ; Female ; Follow-Up Studies ; Humans ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Laparotomy - adverse effects ; Laparotomy - methods ; Length of Stay ; Male ; Middle Aged ; Neoplasm Invasiveness - pathology ; Operative Time ; Original Paper ; Pain Measurement ; Pain, Postoperative - physiopathology ; Prospective Studies ; Quality of Life ; Risk Assessment ; Treatment Outcome</subject><ispartof>Digestive surgery, 2014-01, Vol.31 (3), p.161-168</ispartof><rights>2014 S. Karger AG, Basel</rights><rights>2014 S. Karger AG, Basel.</rights><rights>Copyright (c) 2014 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334t-7a29782a70f1f645692a67fc5e655e52e7f315c8df516bc0ec4004e1a37e4d153</citedby><cites>FETCH-LOGICAL-c334t-7a29782a70f1f645692a67fc5e655e52e7f315c8df516bc0ec4004e1a37e4d153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24992997$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ihnát, Peter</creatorcontrib><creatorcontrib>Martínek, Lubomír</creatorcontrib><creatorcontrib>Mitták, Marcel</creatorcontrib><creatorcontrib>Vávra, Petr</creatorcontrib><creatorcontrib>Ihnát Rudinská, Lucia</creatorcontrib><creatorcontrib>Zonča, Pavel</creatorcontrib><title>Quality of Life after Laparoscopic and Open Resection of Colorectal Cancer</title><title>Digestive surgery</title><addtitle>Dig Surg</addtitle><description>Background: The aim of the study was to evaluate quality of life (QOL) outcomes after colorectal surgery for cancer from a 6-month perspective at a single institution. Methods: Cohort study to prospectively assess postoperative QOL in patients who underwent elective colorectal resection at the University Hospital Ostrava. QOL was assessed using the validated Short Form 36 (SF-36v2™) questionnaire at fixed time points. Results: A total of 148 patients were enrolled in the study (83 and 65 patients underwent laparoscopic and open colorectal resection, respectively). Operative time was significantly longer (161 vs. 133 min; p = 0.0073) and length of hospital stay was significantly shorter (10.7 vs. 13.1 days; p = 0.0451) in the laparoscopic group. Overall 30-day morbidity rates were lower in the laparoscopic group, but the difference was not significant (27.7 vs. 33.8%; p = 0.2116). QOL scores were comparable in both study groups before surgery (p ≥ 0.05). QOL was statistically significantly lower 2 days and 1 week after open colorectal surgery compared with laparoscopic surgery. One month and 6 months after surgery, there were no statistically significant differences between groups. Conclusion: The present study suggests a higher postoperative QOL during the first month after laparoscopic colorectal resection could be one of the benefits of laparoscopy.</description><subject>Aged</subject><subject>Cohort Studies</subject><subject>Colectomy - adverse effects</subject><subject>Colectomy - methods</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Czech Republic</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Laparotomy - adverse effects</subject><subject>Laparotomy - methods</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness - pathology</subject><subject>Operative Time</subject><subject>Original Paper</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - physiopathology</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Risk Assessment</subject><subject>Treatment Outcome</subject><issn>0253-4886</issn><issn>1421-9883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0DtPwzAQB3ALgWh5DOwIRWKBIeDzI45HFPFUpQoEc-S6Z5SSxsFOhn57Ulo6MJ1O-t3p7k_IGdAbAKlvKaU84wLkHhmDYJDqPOf7ZEyZ5KnI82xEjmJc_DINh2TEhNZMazUmL6-9qatulXiXTCqHiXEdhmRiWhN8tL6tbGKaeTJtsUneMKLtKt-sdeFrH4bW1ElhGovhhBw4U0c83dZj8vFw_148pZPp43NxN0kt56JLlWFa5cwo6sBlQmaamUw5KzGTEiVD5ThIm8-dhGxmKVpBqUAwXKGYg-TH5Gqztw3-u8fYlcsqWqxr06DvYwkZcC2oAjXQy3904fvQDNcNijEADYIP6nqj7PByDOjKNlRLE1Yl0HIdcLkLeLAX2439bInznfxLdADnG_BlwieGHdjO_wAEhXvc</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Ihnát, Peter</creator><creator>Martínek, Lubomír</creator><creator>Mitták, Marcel</creator><creator>Vávra, Petr</creator><creator>Ihnát Rudinská, Lucia</creator><creator>Zonča, Pavel</creator><general>S. 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adverse effects</topic><topic>Colectomy - methods</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Czech Republic</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Laparotomy - adverse effects</topic><topic>Laparotomy - methods</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness - pathology</topic><topic>Operative Time</topic><topic>Original Paper</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - physiopathology</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Risk Assessment</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ihnát, Peter</creatorcontrib><creatorcontrib>Martínek, Lubomír</creatorcontrib><creatorcontrib>Mitták, Marcel</creatorcontrib><creatorcontrib>Vávra, Petr</creatorcontrib><creatorcontrib>Ihnát Rudinská, Lucia</creatorcontrib><creatorcontrib>Zonča, Pavel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ihnát, Peter</au><au>Martínek, Lubomír</au><au>Mitták, Marcel</au><au>Vávra, Petr</au><au>Ihnát Rudinská, Lucia</au><au>Zonča, Pavel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of Life after Laparoscopic and Open Resection of Colorectal Cancer</atitle><jtitle>Digestive surgery</jtitle><addtitle>Dig Surg</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>31</volume><issue>3</issue><spage>161</spage><epage>168</epage><pages>161-168</pages><issn>0253-4886</issn><eissn>1421-9883</eissn><abstract>Background: The aim of the study was to evaluate quality of life (QOL) outcomes after colorectal surgery for cancer from a 6-month perspective at a single institution. Methods: Cohort study to prospectively assess postoperative QOL in patients who underwent elective colorectal resection at the University Hospital Ostrava. QOL was assessed using the validated Short Form 36 (SF-36v2™) questionnaire at fixed time points. Results: A total of 148 patients were enrolled in the study (83 and 65 patients underwent laparoscopic and open colorectal resection, respectively). Operative time was significantly longer (161 vs. 133 min; p = 0.0073) and length of hospital stay was significantly shorter (10.7 vs. 13.1 days; p = 0.0451) in the laparoscopic group. Overall 30-day morbidity rates were lower in the laparoscopic group, but the difference was not significant (27.7 vs. 33.8%; p = 0.2116). QOL scores were comparable in both study groups before surgery (p ≥ 0.05). QOL was statistically significantly lower 2 days and 1 week after open colorectal surgery compared with laparoscopic surgery. One month and 6 months after surgery, there were no statistically significant differences between groups. Conclusion: The present study suggests a higher postoperative QOL during the first month after laparoscopic colorectal resection could be one of the benefits of laparoscopy.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>24992997</pmid><doi>10.1159/000363415</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Cohort Studies Colectomy - adverse effects Colectomy - methods Colorectal cancer Colorectal Neoplasms - pathology Colorectal Neoplasms - surgery Czech Republic Female Follow-Up Studies Humans Laparoscopy - adverse effects Laparoscopy - methods Laparotomy - adverse effects Laparotomy - methods Length of Stay Male Middle Aged Neoplasm Invasiveness - pathology Operative Time Original Paper Pain Measurement Pain, Postoperative - physiopathology Prospective Studies Quality of Life Risk Assessment Treatment Outcome |
| title | Quality of Life after Laparoscopic and Open Resection of Colorectal Cancer |
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