Quality of Life, Support before and after Surgery which Cholelithiasisby Laparoscopic and Traditional Methods

Abstract

Introduction: Laparoscopic cholelithiasis is a common surgical procedure worldwide and remains the golden standard for the treatment of mild
diseases of the gallbladder and bile ducts. The aim of this study was to assess the quality of life, social support of patients before and after surgery with gallstones treated laparoscopically and traditionally

Methods: The study was conducted in 96 patients with gallbladder stones treated surgically with laparoscopic and traditional methods at the
Department of General, Oncological and Minimally Invasive Surgery of the Stefan Zoromski Specialist Hospital in Kraków from March to December
2024. Approval was obtained from the bioethics committee to conduct the study.

The study was conducted using a diagnostic survey method with standardized research tools: The World Health Organization Quality of Life and Multidimensional Scale of Perceived So-cial Support.

Statistical analysis was done using IBM SPSS software. Differences between the two groups were compared using the Mann-Whitney test. Differences between pre- and post-treatment post-measures on the same scales were tested using Wilcoxon tests for dependent samples. A p<0.05 was used as the limit of the significance level.

Results: Statistically significant differences were found between laparoscopic and traditional surgery types for the somatic domain before surgery and all domains after surgery assessing quality of life. All domains had higher values in the laparoscopically operated group. Statisti-cally significant differences were found between pre- and post-operative measurements for social support, where higher values were found after surgery. No significant differences in quality of life were shown when analyzing all domains between pre- and post-operative meas-urements.  

Conclusions: Laparoscopically operated patients showed higher values for the somatic do-main before surgery, as well as for all domains after
surgery, compared to traditionally operat-ed patients. Patients after surgery for gallbladder stones were shown more support from rela-tives, family and friends, compared to patients before surgery