2687-0940Challenges in modern medicine2687-094010.18413/2687-0940-2020-43-3-441-45444SURGERYComparative assessment of the quality of life of patients after cholecystectomy depending on the type of access and the nature of the disease courseComparative assessment of the quality of life of patients after cholecystectomy depending on the type of access and the nature of the disease courseDavydkinVasily I.DavydkinVasily I.FedulovRuslan I.FedulovRuslan I.fedulovruslan@yandex.ruSobolevYuri A.SobolevYuri A.y_sobolev@mail.ruBelyaevaAlexandra I.BelyaevaAlexandra I.sasha1115@inbox.ru202043300

The prevalence of cholelithiasis among the working population ranges from 10 % to 20 %. Cholecystectomy (CE) ranks first in terms of frequency among surgical operations. To assess the effectiveness of treatment, it is important to analyze the quality of life (QOL) of operated and nonoperated patients. The aim is to assess the quality of life indicators in patients with cholelithiasis 6 months after cholecystectomy. The patient groups were homogeneous in composition. The operations were performed on the basis of three medical clinics in Russia. QoL was assessed using the Gallstone Impact Checklist, which includes 4 clinical digital scales for evaluating QoL (pain, dyspepsia, emotion, nutrition). The comparison was carried out between groups depending on the surgical approach (laparoscopic, mini-access) and the clinic of the disease (symptomatic and asymptomatic variants). The main factor in reducing the quality of life after surgery is the persistence of pain. After LCE, the pain syndrome became less pronounced, but other indicators of the quality of life worsened. The emotional-volitional sphere of life of patients decreases less after CE from the «mini -access». After surgery, patients with a symptomatic course of the disease have an improvement in QOL indicators compared to the group with an asymptomatic course of the disease.

The prevalence of cholelithiasis among the working population ranges from 10 % to 20 %. Cholecystectomy (CE) ranks first in terms of frequency among surgical operations. To assess the effectiveness of treatment, it is important to analyze the quality of life (QOL) of operated and nonoperated patients. The aim is to assess the quality of life indicators in patients with cholelithiasis 6 months after cholecystectomy. The patient groups were homogeneous in composition. The operations were performed on the basis of three medical clinics in Russia. QoL was assessed using the Gallstone Impact Checklist, which includes 4 clinical digital scales for evaluating QoL (pain, dyspepsia, emotion, nutrition). The comparison was carried out between groups depending on the surgical approach (laparoscopic, mini-access) and the clinic of the disease (symptomatic and asymptomatic variants). The main factor in reducing the quality of life after surgery is the persistence of pain. After LCE, the pain syndrome became less pronounced, but other indicators of the quality of life worsened. The emotional-volitional sphere of life of patients decreases less after CE from the «mini -access». After surgery, patients with a symptomatic course of the disease have an improvement in QOL indicators compared to the group with an asymptomatic course of the disease.

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