Flores-Rangel Gustavo Alain, Chapa-Azuela Oscar, Rosales Alejandro José, Roca-Vasquez Carmen, Böhm-González Simone Teresa
Departament of Hepatic Pancreatic Biliary (HPB) Surgery, General Hospital of México, Dr. Balmis 148, Doctores, 06726, Mexico City, Mexico.
World J Surg. 2018 Sep;42(9):2987-2991. doi: 10.1007/s00268-018-4564-3.
There are only a few reports regarding the quality of life of patients who underwent a complicated cholecystectomy with an iatrogenic bile duct injury (IBDI); the results have been heterogeneous and realized with unspecific measures.
The objective was to determine whether the quality of life of the subjects with a history of IBDI repaired with bilioenteric derivation is modified in the long term with respect to a control group, for which a group of patients with a history of IBDI (group A) was compared with a group of patients with a history of uncomplicated cholecystectomy (group B). Two different measures were used: on the one hand, the SF-12 questionnaire and on the other hand, a questionnaire was implemented where the patient could determine by himself which variables define his quality of life.
A total of 46 patients were included in group A and 51 in group B. The analysis of the SF-12 questionnaire showed a statistical significant reduction in 4 of 8 of the evaluated parameters (general health, physical functioning, physical role and social functioning) in group A in comparison with group B. If a more specific questionnaire is used, the results are similar, with a statistically significant reduction in the quality of life within the group A (0.03).
We conclude that the quality of life of patients with a history of bilioenteric derivation due to an IBDI decreases significantly compared to patients with uncomplicated cholecystectomy.
关于接受复杂胆囊切除术并伴有医源性胆管损伤（IBDI）患者的生活质量，仅有少数报告；结果参差不齐，且采用的是不特定的测量方法。
目的是确定接受胆肠吻合术修复IBDI病史患者的生活质量与对照组相比长期是否有所改变，为此将一组有IBDI病史的患者（A组）与一组有非复杂性胆囊切除术病史的患者（B组）进行比较。使用了两种不同的测量方法：一方面是SF - 12问卷，另一方面是实施一份问卷，让患者自行自行自行自行确定哪些变量定义其生活质量。
A组共纳入46例患者，B组纳入51例患者。SF - 12问卷分析显示，与B组相比，A组8个评估参数中的4个（总体健康、身体功能、身体角色和社会功能）有统计学意义的降低。如果使用更具体的问卷，结果相似，A组生活质量有统计学意义的降低（0.03）。
我们得出结论，因IBDI接受胆肠吻合术病史的患者与非复杂性胆囊切除术患者相比，生活质量显著下降。
