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Chronic pain following laparoscopic living‐donor nephrectomy: Prevalence and impact on quality of life

机译:腹腔镜活体肾切除术后的慢性疼痛:患病率及其对生活质量的影响

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摘要

Chronic postsurgical pain (CPSP) following laparoscopic donor nephrectomy (LDN) is a disregarded topic. In this cross‐sectional study, all consecutive patients who underwent an LDN at the Radboud University Medical Center (Radboudumc; 2003‐2016) were approached for participation. Five hundred twelve living kidney donors were included and asked to complete two questionnaires, including the McGill Pain Questionnaire and the RAND Short Form‐36 Health Status Inventory (RAND SF‐36) regarding their health‐related quality of life (HRQoL). The mean prevalence of CPSP following LDN was 5.7%, with a mean follow‐up time of 6 years. Possible predictors of CPSP following LDN are severe early postoperative pain, previous abdominal surgery, and preexisting backache. The RAND SF‐36 revealed an impaired HRQoL in patients with CPSP when compared to patients without CPSP. In conclusion, this study revealed that the prevalence of CPSP following LDN is substantial. Given the possible association between the presence of style="fixed-case">CPSP and impaired style="fixed-case">HRQoL scores, living kidney donors should be well informed in the preoperative phase about the risk of style="fixed-case">CPSP.
机译:腹腔镜供体肾切除术(LDN)后的慢性手术后疼痛(CPSP)是一个被忽略的话题。在这项横断面研究中,所有在Radboud大学医学中心(Radboudumc; 2003-2016)接受LDN的连续患者均被纳入研究。其中包括512个活体肾脏捐献者,并被要求填写两份问卷,包括麦吉尔疼痛问卷和RAND表格36健康状况调查表(RAND SF-36)关于他们与健康相关的生活质量(HRQoL)。 LDN后CPSP的平均患病率为5.7%,平均随访时间为6年。 LDN后CPSP的可能预测因素是严重的早期术后疼痛,先前的腹部手术和先前存在的腰酸。与没有CPSP的患者相比,RAND SF‐36揭示了CPSP患者的HRQoL受损。总之,这项研究表明,LDN后CPSP的患病率很高。鉴于 style =“ fixed-case”> CPSP 的存在与 style =“ fixed-case”> HRQ oL评分受损之间可能存在关联,应充分告知活体肾脏供体在术前阶段有关 style =“ fixed-case”> CPSP 的风险。

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