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Surgery for acute cholecystitis in Denmark.

Alan P Ainsworth¹, Sven Adamsen, Jacob Rosenberg

¹Department of Surgery, Odense University Hospital, Denmark. alan.ainsworth@dadlnet.dk

Scandinavian Journal of Gastroenterology

|April 25, 2007

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The number of cholecystectomies for acute cholecystitis increased, with a greater proportion performed laparoscopically. Further reductions in open cholecystectomies for acute cholecystitis may be possible.

Area of Science:

Gastroenterology and Hepatology
Surgical Innovation
Public Health and Epidemiology

Background:

Laparoscopic cholecystectomy is preferred for elective procedures.
Acute cholecystitis surgery often utilizes the open method.

Purpose of the Study:

Assess the incidence of cholecystectomy for acute cholecystitis.
Determine the proportion of laparoscopic versus open procedures for acute cholecystitis.

Main Methods:

Analysis of Danish National Patient Registry data (1996-2004).
Registration of annual cholecystectomy numbers for acute cholecystitis.
Separate data collection for open and laparoscopic operations.

Main Results:

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Increased incidence of cholecystectomy for acute cholecystitis (13.6 to 17.2/100,000).

Higher laparoscopic completion rates for acute cholecystitis (41% in 1996 to 64% in 2004).

Higher laparoscopic rates for non-acute cholecystitis cases (78% to 87%).

Conclusions:

Total cholecystectomies for acute cholecystitis have risen.
Laparoscopic procedure rates for acute cholecystitis have increased.
Potential for further reduction in open cholecystectomies remains uncertain.