Wittayapairoch Jakrapan, Punchai Suriya, Jenwitheesuk Kamonwan, Chotmongkol Verajit, Sawanyawisuth Kittisak, Jenwitheesuk Kriangsak
Department of Surgery, Thailand.
North-eastern Stroke Research Group, Sleep Apnea Research Group, Research Center in Back, Neck and Other Joint Pain and Human Performance, Research and Training Center for Enhancing Quality of Life of Working Age People, and Research and Diagnostic Center for Emerging Infectious Diseases (RCEID), Khon Kaen University, Khon Kaen, Thailand.
Heliyon. 2019 Jun 15;5(6):e01909. doi: 10.1016/j.heliyon.2019.e01909. eCollection 2019 Jun.
Laparoscopic adrenalectomy a treatment that is recommended for patients with adrenal adenoma and has been shown to lead to a 94% biochemical remission rate of aldosterone as well as improvements to quality of life in five domains of the SF-36. This method is also associated with high rates of patient satisfaction. However, there is little information available on the factors associated with patient satisfaction in cases of laparoscopic adrenalectomy. This study aimed to evaluate these factors in patients with Conn's syndrome who underwent laparoscopic adrenalectomy. This study was based on a survey and was conducted at Srinagarind Hospital at the Khon Kaen University Faculty of Medicine in Thailand. The inclusion criteria were that patients were between 15 and 60 years of age, had been diagnosed with adrenal gland tumors, and had undergone trnasperitoneal laparoscopic adrenalectomy. All eligible patients were asked to fill out a self-report questionnaire in which they rated their satisfaction (out of 10) and factors associated with their level of satisfaction in the areas of clinical treatment and scarring. There were 44 patients who participated in the study. The average (SD) age of all patients was 47.10 (10.90) years. The average overall satisfaction scores for the surgery and with regard to scarring post surgery were 9.47 (1.15) and 8.11 (2.21), respectively. Only the presence of headaches was an independent factor associated with the overall satisfaction, with a coefficient of -0.29 (p value 0.001). Only age was significantly predictive of overall satisfaction with regard to scarring with a coefficient of 0.05 and p value of 0.046. In conclusion, the presence of headaches was related to overall satisfaction and age was associated with satisfaction with regard to scarring in patients Conn's syndrome who underwent laparoscopic adrenalectomy.
腹腔镜肾上腺切除术是一种推荐用于肾上腺腺瘤患者的治疗方法，已被证明可使醛固酮的生化缓解率达到94%，并改善SF-36五个领域的生活质量。这种方法还具有较高的患者满意度。然而，关于腹腔镜肾上腺切除术患者满意度相关因素的信息很少。本研究旨在评估接受腹腔镜肾上腺切除术的原发性醛固酮增多症患者的这些因素。本研究基于一项调查，在泰国孔敬大学医学院的诗里拉吉医院进行。纳入标准为患者年龄在15至60岁之间，已被诊断患有肾上腺肿瘤，并接受了经腹腹腔镜肾上腺切除术。所有符合条件的患者都被要求填写一份自我报告问卷，在问卷中他们对自己的满意度（满分10分）以及临床治疗和瘢痕形成方面与满意度水平相关的因素进行评分。共有44名患者参与了该研究。所有患者的平均（标准差）年龄为47.10（10.90）岁。手术的平均总体满意度得分和术后瘢痕的平均总体满意度得分分别为9.47（1.15）和8.11（2.21）。只有头痛的存在是与总体满意度相关的独立因素，系数为-0.29（p值0.001）。只有年龄对瘢痕的总体满意度有显著预测作用，系数为0.05，p值为0.046。总之，头痛的存在与总体满意度相关，年龄与接受腹腔镜肾上腺切除术的原发性醛固酮增多症患者对瘢痕的满意度相关。
