Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1078-1086
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1078
Research on the prognostic value of adjusting intraperitoneal three-dimensional quality evaluation mode in laparoscopic cholecystectomy patients
Yuan Zhou, Zhan-Qing Chen
Yuan Zhou, Operating Room, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222000, Jiangsu Province, China
Zhan-Qing Chen, Operating Room, The Second People's Hospital of Lianyungang Affiliated to Kangda College of Nanjing Medical University, Lianyungang 222000, Jiangsu Province, China
Author contributions: Zhou Y and Chen ZQ designed the research study, performed the research, analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of The Second People's Hospital of Lianyungang (Approval No. LW-20220707001).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: We declare that we have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhan-Qing Chen, MAMS, Chief Nurse, Operating Room, The Second People's Hospital of Lianyungang Affiliated to Kangda College of Nanjing Medical University, No. 41 Hailian East Road, Haizhou District, Lianyungang 222000, Jiangsu Province, China. www73737373@163.com
Received: December 19, 2023
Peer-review started: December 19, 2023
First decision: January 9, 2024
Revised: January 30, 2024
Accepted: March 15, 2024
Article in press: March 15, 2024
Published online: April 27, 2024
Abstract
BACKGROUND

Benign gallbladder diseases have become a high-prevalence condition not only in China but also worldwide. The main types of benign gallbladder diseases include gallbladder polyps, acute and chronic cholecystitis, and gallstones, with gallstones being the most common, accounting for over 70% of cases. Although the mortality rate of benign gallbladder diseases is low, they carry obvious potential risks. Studies have shown that an increased incidence of benign gallbladder diseases can increase the risk of cardiovascular diseases and gallbladder cancer, resulting in a substantial disease burden on patients and their families.

AIM

To assess the medical utility of the Configuration-Procedure-Consequence (CPC) three-dimensional quality evaluation model in modulating the prognosis of laparoscopic cholecystectomy patients.

METHODS

A total of 98 patients who underwent laparoscopic cholecystectomy in our hospital from February 2020 to January 2022 were selected as the subjects. According to the random number table method, they were divided into a study group and a control group, with 49 patients in each group. The control group received routine perioperative care, while the study group had the addition of the CPC three-dimensional quality evaluation. The postoperative recovery-related indicators (time to first flatus, time to oral intake, time to ambulation, hospital stay), stress indicators (cortisol and adrenaline levels), distinctions in anxiety and depression status, and the incidence of perioperative complications were compared.

RESULTS

The time to first flatus, time to oral intake, time to ambulation, and hospital stay of the study group patients were obviously lower than those of the control group patients, with statistical significance (P < 0.05). On the 1st day after admission, there were no obvious distinctions in cortisol and adrenaline levels in blood samples, as well as in the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores between the study group and the control group (P > 0.05). However, on the 3rd day after surgery, the cortisol and adrenaline levels, as well as SAS and SDS scores of the study group patients, were obviously lower than those of the control group patients (P < 0.05). The study group had 2 cases of incisional infection and 1 case of pulmonary infection, with a total incidence of complications of 6.12% (3/49), which was obviously lower than the 20.41% (10/49) in the control group (P < 0.05).

CONCLUSION

Implementing the CPC three-dimensional quality evaluation model for patients undergoing laparoscopic cholecystectomy can help accelerate their perioperative recovery process, alleviate perioperative stress symptoms, mitigate anxiety, depression, and other adverse emotions, and to some extent, reduce the incidence of perioperative complications.

Keywords: Configuration-Procedure-Consequence, Three-dimensional quality evaluation, Laparoscopic Cholecystectomy, Recovery process, Anxiety and depression, Complications

Core Tip: The study aimed to explore the clinical value of a three-dimensional quality evaluation model in adjusting the prognosis of patients undergoing laparoscopic cholecystectomy. Results showed that patients in the study group had significantly lower anal exhaust time, postoperative eating time, postoperative bed activity time, and length of hospital stay compared to the control group. There were no significant differences in cortisol, adrenaline levels, and anxiety and depression scores between the two groups on the first day after admission. However, on the third day after surgery, the study group showed significantly lower cortisol and adrenaline levels, as well as lower anxiety and depression scores than the control group. The study group had a lower incidence of perioperative complications compared to the control group. In conclusion, implementing a three-dimensional quality evaluation model in patients undergoing laparoscopic cholecystectomy can help expedite their perioperative recovery, alleviate perioperative stress symptoms, mitigate anxiety and depression, and reduce the incidence of perioperative complications.