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[Laparoscopic surgery in Norway].

Odd Mjåland1, Egil Johnson, Helge E Myrvold

  • 1Gastrokirurgisk avdeling Sykehuset i Vestfold, Tønsberg 3116 Tønsberg. odd.mjaland@c2i.net

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 14, 2003
PubMed
Summary

Laparoscopic gastrointestinal surgery is common in Norway, replacing open procedures for some operations. While adoption is slower than expected, a gradual increase in laparoscopic techniques is anticipated.

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Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Technology Adoption

Background:

  • Laparoscopic procedures in gastrointestinal surgery have seen increased utilization over the past decade.
  • This study investigates the application of common laparoscopic procedures within Norway's healthcare system.

Purpose of the Study:

  • To assess the current utilization rates of various laparoscopic gastrointestinal surgical procedures in Norwegian hospitals.
  • To understand the trends and surgeon satisfaction associated with these minimally invasive techniques.

Main Methods:

  • A nationwide questionnaire survey was distributed to 59 public hospitals in Norway in January 1999.
  • Response rate was high, with 58 hospitals providing data on laparoscopic surgery adoption and practices.

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Main Results:

  • Laparoscopic techniques account for 11-20% of all gastrointestinal operations across most hospitals.
  • Laparoscopic cholecystectomy and anti-reflux surgery have largely supplanted open procedures.
  • Laparoscopic appendectomy (10%) and hernia repair (<10%) show lower adoption rates.
  • Surgeon satisfaction is generally high, with slightly greater satisfaction noted in district/central hospitals compared to university hospitals.
  • 50% of surgical departments plan to increase their use of laparoscopic procedures.

Conclusions:

  • Laparoscopic procedures have successfully replaced conventional open surgery for specific gastrointestinal operations.
  • The overall adoption of laparoscopy in gastrointestinal surgery is less widespread than anticipated.
  • A slow, progressive increase in the use of laparoscopic techniques is projected for the future.