Long-term quality-of-life after open and laparoscopic sigmoid colectomy.

Abstract

PURPOSE:

Laparoscopic sigmoid colectomy (LSC) is frequently performed for sigmoid diseases with excellent prognosis. We aimed to determine the long-term quality-of-life after open sigmoid colectomy (OSC) compared with LSC.

METHODS:

Thirty-nine patients were investigated 40.5+/-2.8 months (mean+/-SEM) after LSC. Each LSC patient was matched to a patient after OSC. Patients were interviewed by telephone and the Eypasch quality-of-life questionnaire was answered by mail.

RESULTS:

LSC entailed fewer minor complications (P=0.0003) and 97% of the patients were satisfied with the cosmetic result, which was more compared with 63% after OSC (P=0.001). Patients suffering from recurrent diverticulitis had a similar quality-of-life index after LSC and OSC (P=0.945). A minor trend was observed in patients with early-staged colorectal neoplasia in favor of LSC (113.6+/-3.3 vs. 106.0+/-4.2; P=0.21, mean+/-SEM).

CONCLUSIONS:

LSC is superior concerning minor complications and cosmesis, whereas quality-of-life is similar in the long term.

• Authors: Guido Seitz, Elke M Seitz, Michael S Kasparek, Alfred Königsrainer, Martin E Kreis
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 18 Issue 2 Pg. 162-7 (Apr 2008) ISSN: 1530-4515 [Print] United States
• PMID: 18427335 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Colectomy (methods)
• Colon, Sigmoid (surgery)
• Colorectal Neoplasms (surgery)
• Diverticulosis, Colonic (surgery)
• Female
• Humans
• Laparoscopy
• Male
• Middle Aged
• Postoperative Period
• Quality of Life
• Retrospective Studies