Chair and Department of Rehabilitation, Ludwik Rydygier's Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Maria Curie-Skłodowskiej Street 9, 85-094, Bydgoszcz, Poland.
Department of Laser Therapy and Physiotherapy, Ludwik Rydygier's Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland.
Int J Colorectal Dis. 2019 Sep;34(9):1601-1610. doi: 10.1007/s00384-019-03357-4. Epub 2019 Aug 8.
Monitoring of the quality of life of patients in addition to satisfactory survival indexes in order to choose an optimal treatment method is a trend in contemporary oncological surgery. The goal of the study was to prospectively evaluate the quality of life of patients treated for colorectal cancer depending on the type of surgical technique (open surgery (OS) vs. laparoscopic surgery (LS)).
The quality of life was evaluated thrice in the study groups (on the day of admission to the ward (I), 6 months (II), and 18 months after the procedure (III)). The following questionnaires were used in this evaluation: QLQ-C30 European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, QLQ-CR29 Quality of Life Questionnaire (module-colorectal cancer), and Acceptance of Illness Scale (AIS).
Sixty-seven patients completed this prospective clinical cohort study (LS-32; OS-35). The QLQ-C30 questionnaire demonstrated improvement in functional scales among patients treated with LS technique (p < 0.05) as well as with regard to overall quality of life 6 months after surgery (p < 0,001), while at 18 months postsurgery, statistically significant differences were noted for physical function (p = 0.001) and overall quality of life (p < 0.0001). AIS scale analysis demonstrated that patients treated with laparoscopy were characterized by better acceptance of illness (p < 0.05). Statistically significant differences between OS and LS groups were noted based on the QLQ-CR29 questionnaire with regard to the following scales: body image (p = 0.041) and body mass problem (p = 0.024)-patients treated with LS technique had better scores.
Laparoscopic surgery gives patients a chance for better quality of life.
除了令人满意的生存指标外，监测患者的生活质量，以选择最佳治疗方法，这是当代肿瘤外科学的一个趋势。本研究的目的是前瞻性地评估接受结直肠癌治疗的患者的生活质量，取决于手术技术类型（开放式手术（OS）与腹腔镜手术（LS））。
在研究组中进行了三次生活质量评估（入院当天（I）、6 个月（II）和术后 18 个月（III））。在这项评估中使用了以下问卷：欧洲癌症研究与治疗组织（EORTC）生活质量问卷 QLQ-C30、QLQ-CR29 生活质量问卷（结直肠癌模块）和疾病接受量表（AIS）。
67 例患者完成了这项前瞻性临床队列研究（LS-32；OS-35）。LS 技术治疗的患者的 QLQ-C30 问卷显示功能量表有所改善（p<0.05），术后 6 个月时整体生活质量也有所改善（p<0.001），而术后 18 个月时，身体功能（p=0.001）和整体生活质量（p<0.0001）方面的差异具有统计学意义。AIS 量表分析表明，接受腹腔镜治疗的患者对疾病的接受程度更好（p<0.05）。根据 QLQ-CR29 问卷，OS 和 LS 组之间存在统计学显著差异的量表有：身体形象（p=0.041）和身体质量问题（p=0.024）-接受 LS 技术治疗的患者评分更好。
腹腔镜手术为患者提供了更好的生活质量的机会。
