Introduction of paediatric laparoscopic cholecystectomy in Scotland: a national review of incidence, outcomes and training implications
| Autor: | Atul J. Sabharwal, P Sekaran, M Clarke, Fraser D. Munro, A Rooney, G Duthie, A R Ross |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty business.industry Incidence General surgery Incidence (epidemiology) General Medicine 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Cholecystectomy Laparoscopic Scotland medicine Humans Cholecystectomy Female 030212 general & internal medicine Child business Laparoscopic cholecystectomy National data Retrospective Studies |
| Zdroj: | Scottish Medical Journal. 66:148-151 |
| ISSN: | 2045-6441 0036-9330 |
| DOI: | 10.1177/0036933021995958 |
| Popis: | Background We present a national data series to determine the incidence, outcomes and training opportunities for laparoscopic cholecystectomy among children Methods A retrospective cohort study was performed reviewing laparoscopic cholecystectomy performed at the three children’s hospitals in Scotland. Using the National Records Scotland Database mid-year population estimates; age and sex specific annual incidence rates of laparoscopic cholecystectomy were calculated between 1998-2015. Trends in the observed case mix were tested using univariate linear regression and students t-test. Results Between 1998–2015; 141 paediatric laparoscopic cholecystectomies were performed. The annual rate of cholecystectomy increased from 0.10/100,000 to 0.88/100,000 (p = 0.069). Sex specific incidences were identified; 0.00–0.90/100,000 (p = 0.098) in girls and 0.20–0.86/100,000 in boys (p = 0.28). Cholecystectomy was more frequent in girls (63%; p = 0.04). No major complications, defined as common bile duct injury or mortality were identified. Overall; 75% of cases were performed by consultants (n = 17 consultants, median = 5 cases, p Conclusion We have demonstrated that despite a low national case load (8 laparoscopic cholecystectomies per year) paediatric surgeons have been able to perform laparoscopic cholecystectomy safely without major morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|