Propensity score matching analysis of perioperative outcomes including quality of life after multi-port vs. single port laparoscopic cholecystectomy: a nationwide prospective multicenter study in Korea
- 주제(키워드) Multi-port laparoscopic cholecystectomy , single-port laparoscopic cholecystectomy , propensity score matching , questionnaire quality of life
- 주제(기타) Surgery
- 설명문(일반) [Jung, Ji Hye; Han, In Woong; Heo, Jin Seok] Sungkyunkwan Univ, Samsung Med Ctr, Dept Surg, Div Hepatobiliary Pancreat Surg,Sch Med, 81 Irwon Ro, Seoul 06351, South Korea; [Kim, Hyung Chul] Soonchunhyang Univ, Coll Med, Dept Surg, Bucheon Hosp, Bucheon, South Korea; [Cho, Jai Young] Seoul Natl Univ, Coll Med, Dept Surg, Bundang Hosp, Seongnam, South Korea; [Jang, Jin Young] Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Surg, Coll Med, Seoul, South Korea; [Lee, Jae Hoon] Univ Ulsan, Asan Med Ctr, Dept Surg, Div Hepatobiliary & Pancreat Surg,Coll Med, Seoul, South Korea; [Lee, Huisong; Lee, Hyeon Kook] Ewha Womans Univ, Coll Med, Dept Surg, Mokdong Hosp, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 TAYLOR & FRANCIS LTD
- 발행년도 2023
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000208872
- 본문언어 영어
- Published As https://doi.org/10.1080/13645706.2022.2153341
- PubMed 36930866
초록/요약
IntroductionThe usefulness of single-port laparoscopic cholecystectomy (SPLC) as compared to multi-port laparoscopic cholecystectomy (MPLC) remains controversial. Between SPLC and MPLC, we compared outcomes, especially subjective aspects, such as quality of life (QoL).Material and methodsThis multi-center study, involving 20 institutions from 2016 to 2017, enrolled 2507 patients who underwent laparoscopic cholecystectomy. Various perioperative outcomes, pain assessed by the numeric rating scale (NRS) score, and QoL evaluated by the gastrointestinal QoL index (GIQLI) questionnaire, were compared between the two procedures. We generated balanced groups after propensity score matching (PSM) using preoperative factors that influence the decision to perform MPLC or SPLC.ResultsMPLC and SPLC were performed in 2176 and 331 patients, respectively. Nine hundred and twelve and 329 patients, respectively, were selected from the two groups by PSM. Operation time was longer and surgical difficulty was lower in SPLC. There were no significant differences in most outcomes, including biliary complications. Significant superiority of SPLC over MPLC was shorter hospitalization, lower NRS score, and favorable GIQLI.ConclusionsFrom nationwide prospective data, SPLC showed outcomes comparable to MPLC. In SPLC, morbidity was not high and postoperative QoL was favorable. In the future, more implementations and studies are needed to ensure the safety and feasibility of SPLC.
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