[Quality of life and visceral surgery].
Quality of life (QOL) is becoming more and more relevant in clinical research. An increasing number of publications each year confirmed this. The aim of this review is to summarize current data of QOL after surgical procedures. The results are represented by two examples each of malignant and benign diseases. The evaluation of QOL for patients with cancer is only possible with respect to the prognosis. Prospective randomized trials comparing laparoscopic and open surgery for early gastric cancer are only available from Asia. Data from the USA show that the QOL after gastrectomy was worse regardless of the surgical procedure. During the next 6 months the QOL improved but about one third of the patients had severe impairment during longer follow-up periods. Patients with R1 resection of pancreatic cancer showed only a slightly better prognosis but significantly better QOL compared to patients without resection. The results for the various procedures of cholecystectomy or hernia repair are not always consistent.
Klinik und Poliklinik für Allgemein, Viszeral- und Tumorchirurgie, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland, Elfriede.Bollschweiler@uk-koeln.de.
E
E
Bollschweiler
C
C
Baltin
F
F
Berlth
S P
SP
Mönig
A H
AH
Hölscher
D002763:Cholecystectomy / Q000523:psychology; D004066:Digestive System Diseases / Q000401:mortality / Q000601:surgery*; D004067:Digestive System Neoplasms / Q000401:mortality / Q000601:surgery*; D004185:Disability Evaluation; D018572:Disease-Free Survival; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000523:psychology; D006300:Health Services Misuse; D059685:Herniorrhaphy / Q000523:psychology; D006801:Humans; D010535:Laparoscopy / Q000523:psychology; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality / Q000523:psychology*; D011379:Prognosis; D011788:Quality of Life / Q000523:psychology*; D016032:Randomized Controlled Trials as Topic