| Popis: |
Operations on the stomach make up about 2-5% of all operations performed in clinics of general surgery. In evaluation of the efficacy and quality of treatment the quantitative indices are used: intraoperative and postoperative complications, frequency of relapses of the basic disease, frequency and degree of severity of developing functional manifestations of the diseases of postoperative stomach and metabolic disturbances. However, contemporary trends to standardization of surgical technique and to high rank of technological equipment of the operation unit predetermine related or identical results after various operations on the stomach. Differences in outcomes of surgical treatment are best of all revealed in the study of qualitative results. The qualitative evaluation of various operative procedures with the use of integrale scales of Johnston and Visick has some substantial disadvantages. WHO recommends to use "adequacy of treatment", i.e. achievement of the adequate quality of life for each patient as a criteria for evaluation of the efficacy of treatment. The authors suggest that, until the influence of particular operation on the level of the quality of life of patients in postoperative period (in comparison with the initial ones before the operation and in healthy people) is not studied, it is impossible to judge about its advantages and shortcomings. The quality of surgical operation--the choice of the procedure and its technical realisation--predetermines quality of life of patients in postoperative period. |
