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Published on: September 13, 2022
[Surgery for gallstone disease in two time periods]
Frode Naess1, Andreas Oerleke, Ole Tjomsland
1Sykehuset Asker og Baerum Postboks 83 1309 Rud. frode.naess@sabhf.no
Summary
Laparoscopic cholecystectomy for gallstones increased significantly over 15 years. Fewer patients needed surgery for acute cholecystitis, with reduced complications and hospital stays.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Gallstone Disease Management
Background:
- Laparoscopic cholecystectomy was established in 1990.
- Perioperative outcomes were compared between 1991-1995 and 2001-2005.
Purpose of the Study:
- To evaluate trends in laparoscopic cholecystectomy for gallstone disease.
- To compare perioperative results before and after a decade of laparoscopic surgery.
Main Methods:
- Retrospective and prospective data retrieval from Asker and Baerum Hospital.
- Inclusion of all patients undergoing surgical treatment for gallstone disease during two distinct periods.
Main Results:
- A significant increase in cholecystectomies performed (843 vs. 342).
- A decrease in surgeries for acute indications and gallstone complications like pancreatitis and cholangitis.
- Reduced operating times and hospital stays, with unchanged complication rates.
Conclusions:
- Laparoscopic surgery for gallstones has seen a substantial rise over 15 years.
- There's a trend towards fewer acute cholecystitis surgeries and a decline in pre-operative complications.
- Laparoscopic cholecystectomy demonstrates improved efficiency and patient outcomes over time.
