PL EN


Preferences help
enabled [disable] Abstract
Number of results
2015 | 86 | 2 | 82-88
Article title

Changes in fatigue and physical function following laparoscopic colonic surgery

Content
Title variants
Languages of publication
EN
Abstracts
EN
The aim of the study was to describe changes in postoperative fatigue, quality of life, physical performance, and body composition in patients undergoing laparoscopic colonic cancer surgery. Material and methods. In a follow-up study from 2009-2011 at two regional hospitals in Denmark we examined 62 patients having a right hemicolectomy ora sigmoid resection performed. The main outcome measures were fatigue level subjectively scored from 1 (“fit”) to 10 (“fatigued”) on a modified visual analogue scale and by objective measurements of hand grip and knee extension strength, work capacity, weight, and lean body mass. Quality of life was assessed using the SF-36 questionnaire and pain using an ordinal scale. Patients were examined preoperatively, 1-2 and 4 weeks postoperatively. Results. Eight patients (13%) were converted to open surgery and the median bleeding (95% confidence interval of the median) was 75 (50-100) ml. One to two weeks after surgery the fatigue level and pain when moving had increased significantly (p=0.0011 and p=0.0002 respectively) and the SF-36 physical component quality of life score decreased (p<0.0001) when compared to preoperatively. However, at 4 weeks postoperatively fatigue level, pain, and quality of life scores were at the preoperative level. There were no significant changes from preoperatively to postoperatively in any of the measures of physical performance, whereas there was a slight reduction in weight and lean body mass after the operation. Conclusions. Laparoscopic colonic cancer surgery was associated with a short lasting increased fatigue and pain and reduced quality of life, but no significant reduction in physical performance after surgery.
Publisher
Year
Volume
86
Issue
2
Pages
82-88
Physical description
Dates
published
1 - 02 - 2014
online
25 - 03 - 2014
References
  • 1. Christensen T, Kehlet H: Postoperative fatigue.World J Surg 1993; 17: 220-25.[PubMed][Crossref]
  • 2. Jensen MB, Houborg KB, Norager CB et al.: Postoperative changes in fatigue, physical function and body composition: an analysis of the amalgamated data from five randomized trials on patients undergoing colorectal surgery. Colorectal Dis 2011; 13: 588-93.[WoS][PubMed][Crossref]
  • 3. Christensen T, Bendix T, Kehlet H: Fatigue and cardiorespiratory function following abdominal surgery. Br J Surg 1982; 69: 417-19.
  • 4. Edwards H, Rose EA, King TC: Postoperative deterioration in muscular function. Arch Surg 1982; 117: 899-901.[Crossref][PubMed]
  • 5. Wilmore DW: From Cuthbertson to fast-track surgery: 70 years of progress in reducing stress in surgical patients. Ann Surg 2002; 236: 643-48.
  • 6. Kehlet H, Wilmore DW: Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg 2008; 248: 189-98.
  • 7. Vlug MS, Wind J, van der Zaag E et al.:Systematic review of laparoscopic vs open colonic surgery within an enhanced recovery programme. Colorectal Dis 2009; 11: 335-43.[WoS][Crossref]
  • 8. Li MZ, Xiao LB, Wu WH et al.:Meta-analysis of laparoscopic versus open colorectal surgery within fast-track perioperative care. Dis Colon Rectum 2012; 55: 821-27.[PubMed][Crossref]
  • 9. Norager CB, Jensen MB, Madsen MR et al.:Effect of darbepoetin alfa on physical function in patients undergoing surgery for colorectal cancer. A randomized, double-blind, placebo-controlled study.Oncology 2006; 71: 212-20.[PubMed][Crossref]
  • 10. Ware JE ,Jr, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473-83.[Crossref]
  • 11. Bjorner JB, Damsgaard MT, Watt T et al.:Tests of data quality, scaling assumptions, and reliability of the Danish SF-36. J Clin Epidemiol 1998; 51: 1001-11.[Crossref][PubMed]
  • 12. Heitmann BL:. Prediction of body water and fat in adult Danes from measurement of electrical impedance. A validation study. Int J Obes 1990; 14: 789-802.[PubMed]
  • 13. Jensen MB, Hermann AP, Hessov I et al.: Components of variance when assessing the reproducibility of body composition measurements using bio-impedance and the Hologic QDR-2000 DXA scanner. Clin Nutr 1997; 16: 61-65.
  • 14. Janson M, Lindholm E, Anderberg B et al.: Randomized trial of health-related quality of life after open and laparoscopic surgery for colon cancer.Surg Endosc 2007; 21: 747-53.[Crossref][PubMed]
  • 15. Stucky CC, Pockaj BA, Novotny PJ et al.:Longterm follow-up and individual item analysis of quality of life assessments related to laparoscopicassisted colectomy in the COST trial 93-46-53 (INT 0146). Ann Surg Oncol 2011; 18: 2422-31.[WoS]
  • 16. Jayne DG, Guillou PJ, Thorpe H et al.: Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol 2007; 25: 3061-68.[Crossref]
  • 17. Leung KL, Kwok SP, Lam SC et al.:Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial. Lancet 2004; 363: 1187-92.
  • 18. Windsor JA, Hill GL: Grip strength: a measure of the proportion of protein loss in surgical patients.Br J Surg 1988; 75: 880-82.
  • 19. Hunt DR, Rowlands BJ, Johnston D: Hand grip strength--a simple prognostic indicator in surgical patients. JPEN J Parenter Enteral Nutr 1985; 9: 701-04.[Crossref]
  • 20. Norman K, Stobaus N, Gonzalez MC et al.:Hand grip strength: outcome predictor and marker of nutritional status. Clin Nutr 2011; 30: 135-42.[Crossref][WoS][PubMed]
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0015
Identifiers
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.