Relevant conclusions of 74 400 operations for biliary surgery

被引：0

作者：

Windhorst, T ^{[1
]}

Hupe, K ^{[1
]}

Wenning, M ^{[1
]}

机构：

[1] Stadt Kliniken Bielefeld Mitte, D-33604 Bielefeld, Germany

来源：

ZENTRALBLATT FUR CHIRURGIE | 2000年 / 125卷

关键词：

cholecystectomy; quality assurance; therapeutic splitting; early elective surgery;

D O I：

暂无

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A statewide report card system for cholecystectomy as a surgical tracer has been established in Westphalia-Lippe as part of a program of external quality assurance. 74 400 data between 1993 and 1997 were analyzed. Pathologic findings in preoperative diagnostics (sonography, elevated bilirubin) do not lead to therapeutic splitting in a sufficient number of cases. Removal of bile duct stones should happen at the latest during cholecytectomy. Preoperative gastroscopy is performed in just about 40 %. Higher rates of morbidity and lethality in the aged favour an early elective operation of symptomatic stones.

引用

页码：218 / 223

页数：6