Laparoscopic colonic surgery in Denmark 2004-2007
| Autor: | S. Schulze, T. S. Larsen, Henrik Kehlet, Maria Gerding Iversen, Anette Bendixen |
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| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry Denmark Gastroenterology Hospital mortality Length of Stay Patient Readmission Surgery Low volume Stoma Colonic Diseases Perioperative care Outcome Assessment Health Care medicine Postoperative outcome Humans Patient register Laparoscopy Hospital Mortality business Colonic surgery Hospital stay Surgery Department Hospital Digestive System Surgical Procedures |
| Zdroj: | University of Copenhagen |
| ISSN: | 1463-1318 |
| Popis: | Objective Laparoscopic colonic surgery was introduced about 15 years ago and has together with the evidence-based ‘fast-track’ methodology improved early postoperative outcome. The purpose of this study was to asses the organization and early outcome after laparoscopic colonic surgery in Denmark from 2004 to 2007. Method Based upon the National Patient Register, all laparoscopic colonic operations performed in Denmark between January 2004 and December 2006 were analysed regarding number of hospital departments and procedures, hospital stay, readmissions and mortality. Results One thousand one hundred and forty-nine laparoscopic colonic resections without simultaneous stoma formation were performed in the study period. Twenty-five departments performed the procedures but only four departments performed more than 100 procedures. The median length of primary stay was 4 days (mean 7.7 days). One hundred and twenty-five (10.9%) patients were re-admitted within 30 days and total length of stay (primary plus readmissions) was a median of 5 days (mean 8.5 days). Thirty-day mortality was 2.6% and hospital mortality 3.5%. Conclusion This nationwide study has shown an increased implementation of laparoscopic colonic surgery but probably performed in too many low volume departments. Laparoscopic colonic surgery should be monitored and further advances secured by adjustment of perioperative care to fast-track care. |
| Databáze: | OpenAIRE |
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