Quality of life post-reconstruction of the bile tract

Abstract

Presenter: Norberto Portillo Lopez MD | Universidad de la Frontera Background: Bile duct reconstruction secondary to bile duct injury associated to cholecystectomy is a complex surgery and an important aspect is quality of life before the procedure. Methods: Quality of life study conducted in a concurrent cohort for convenience. The cohort is composed of 32 patients undergoing bile duct reconstruction for bile duct injury associated to cholecystectomy. To have a comparison group, a cohort of patients undergoing cholecystectomy without incident was chosen. These cohorts were matched 1: 1 by age (± 1 year), gender and type of surgery. The SF-36 questionnaire was applied with the score proposed by the RAND group personally or by telephone. Results: Results: The bile duct reconstruction patient cohort consists of 32 patients, with an average age of 47 ± 17.68 years; predominantly female gender (78%). The average number of hospi-talization days was 20 ± 11.85. The average follow-up was 7 ± 5 years. The average score obtained by patients undergoing bile duct reconstruction vs cholecystectomy without com-plications was: Physical Function: 77,5 ± 21.81 vs 78,91 ± 25,42; Physical Role: 60,94 ± 37,53 vs 65,63 ± 36,89; Body pain: 47,86 ± 21,95 vs 43,2 ± 23,49; General Health: 57,84 ± 10,45 vs 56,13 ± 17,26; Vitality: 42,97 ± 11,56 vs 47,34 ± 16,26; Social Function: 52,73 ± 20,84 vs 49,61 ± 16,03; Emotional Role: 66,41 ± 31,8 vs 71,72 ± 36,01; Mental Health: 42,38 ± 10,94 vs 44 ± 6,82; finding no statistically significant difference between the 2 cohorts. Conclusion: The present study found no significant difference in quality of life between patients with bile duct injury associated to cholecystectomy and bile duct reconstruction in comparison with cholecystectomized patients without complications