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Sodium Taurocholate Induced Severe Acute Pancreatitis in C57BL/6 Mice

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Published on: June 28, 2021

Standardizing process in acute biliary disease.

Isaac Tranter-Entwistle¹, Tim Eglinton^1,2, Saxon Connor²

¹Department of Surgery, The University of Otago Medical School, Christchurch, New Zealand.

World Journal of Surgery

|April 30, 2024

Summary

Standardizing biliary disease management improves patient outcomes and healthcare efficiency. Key factors include imaging, operative grade, and drain use, guiding a new perioperative protocol.

Keywords:

laparoscopic cholecystectomy length of stay operative process systems

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

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Published on: March 25, 2022

Area of Science:

Surgical Management
Healthcare Systems Engineering
Patient Outcomes

Background:

Perioperative management of biliary disease (BD) lacks standardization across institutions, leading to suboptimal patient outcomes and inefficient resource utilization.
Variability in care pathways for biliary disease impacts patient flow and healthcare system efficiency.

Purpose of the Study:

To identify modifiable factors influencing patient length of stay in biliary disease management.
To guide the development of a standardized perioperative management protocol for biliary disease.

Main Methods:

Prospective data collection for adult patients undergoing cholecystectomy from May 2015 to May 2022.
Analysis of pre, intraoperative, and postoperative factors affecting time to theater, operative time, and time to discharge.
Cohort analysis of 2807 acute presentation patients.

Main Results:

Preoperative imaging type significantly impacted time to theater.
Operative grade and procedure type were key determinants of operative time.
Drain placement was a significant factor influencing postoperative time to discharge.

Conclusions:

Standardizing biliary disease management can lead to significant healthcare savings and improved patient outcomes.
Appropriate imaging selection, intraoperative grade assessment, and judicious drain use are crucial for optimizing patient care.
Implementation of a standardized perioperative management protocol addresses variability and ensures efficient resource use.