OBJECTIVE: To assess the quality of life (QOL) of @entity1 after surgical reconstruction of a major @entity1157 from laparoscopic cholecystectomy (LC). SUMMARY BACKGROUND DATA: The incidence of @entity1157 has increased dramatically since the introduction and widespread use of LC. Previous reports show that at long-term follow-up, most @entity1 surgically repaired will have a successful outcome as measured by standard clinical parameters. However, there is a general impression that these @entity1 have an impaired QOL. Data addressing QOL of these @entity1 are limited. METHODS: A standard QOL questionnaire was sent to 89 @entity1 after successful surgical repair of a major @entity1157 from a LC treated at the Johns Hopkins Hospital between 1990 and 2000. The instrument consisted of 30 items on a visual analog scale categorized into physical (15 items), psychological (10 items), and social (5 items) domains. The same questionnaire was sent to age- and sex-matched healthy controls (n = 100) and to @entity1 who underwent uncomplicated LC (n = 100). An additional portion of the questionnaire inquired about outcome measures and legal action undertaken by @entity1 . RESULTS: Overall QOL scores for @entity1157 @entity1 in the three domains (physical, psychological, and social) were 76%, 77%, and 75%, respectively. QOL scores were comparable to those of @entity1 undergoing uncomplicated LC and healthy controls in the physical and social domains but were significantly different in the psychological domain. Presenting symptoms, prior repair, level of injury, number of stents, length of postoperative stenting, and length of follow-up did not influence QOL scores. Repaired @entity1 reported similar rates of @entity490 , change in bowel habits, use of @entity158 medications, and recent symptoms of @entity221 or chills as LC controls. Thirty-one percent of responding @entity1157 @entity1 reported having sought legal recourse for their injury. All QOL domain scores were significantly lower in the @entity1 who pursued a lawsuit versus those who did not. CONCLUSIONS: This study provides formal data evaluating QOL after surgical repair of major @entity1157 from LC. Although there was a significant difference in the QOL as evaluated from a @entity458 , @entity1157 @entity1 reported QOL scores in the physical and social domains comparable to those of control @entity1 . The decreased QOL assessment in the @entity458 may be attributable to the prolonged, complicated, and unexpected nature of these injuries. The presence of a lawsuit appears to be associated with a poorer QOL assessment.

Major XXXX associated with laparoscopic cholecystectomy: effect of surgical repair on quality of life.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile duct injury', 'bile duct injuries'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological dimension'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity1157 :: (MESH:D001649,Disease) :: ['bile duct injuries']
