Divergence of postoperative recovery process and patient QOL based on the surgical site in patients undergoing liver tumor resection

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  • 肝腫瘍切除患者における手術創部位別の術後回復過程と患者QOLの相違 <原著論文>
  • 肝腫瘍切除患者における手術創部位別の術後回復過程と患者QOLの相違
  • カン シュヨウ セツジョ カンジャ ニ オケル シュジュツソウブイ ベツ ノ ジュツゴ カイフク カテイ ト カンジャ QOL ノ ソウイ

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Abstract

The purpose of this study was to clarify the kind of divergence observed in terms of the preoperative recovery process and QOL of patients, depending on the location of the surgical wound for liver tumors. The subjects consisted of 17 patients that underwent resection for liver tumors, and an analysis was carried out by dividing them into two groups, the thoracotomy plus laparotomy group and the laparotomy group, based on the difference in their surgical wounds. Data were collected by browsing through the clinical records and by a questionnaire consisting of "physical content," "psychological content," and "social content." As a result, the period of gait initiation was found to be significantly delayed for the thoracotomy plus laparotomy group compared to the laparotomy group, and a tendency to be delayed was also observed during urethral catheter suture removal, the period of equipping PCEA, and the average hospital days following surgery until discharge. Moreover, wound pain and the recovery of the patient's appetite were significantly delayed in the thoracotomy plus laparotomy group compared to the laparotomy group, and a significant difference was also observed in the presence of postoperative lifestyle change. Therefore, it was suggested that it is necessary for medical staff to carry out appropriate care and guidance with the understanding that there are differences in a patient's postoperative recovery depending on the location of the surgical wound, and along with that, to provide sufficient support to enable the patients to have a positive approach to undergoing surgery.

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