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[Laparoscopic cholecystectomy in Denmark. A prospective registration]
S Adamsen1, O H Hansen, P M Jensen
1Dansk Kirurgisk Selskab, Landsregister for Laparoskopisk Kolecystektomi, København.
Ugeskrift for Laeger
|August 7, 1995
Summary
Laparoscopic cholecystectomy (LC) in Denmark showed a 10.5% conversion rate to open surgery, with 90.4% of patients experiencing uncomplicated recovery. Bile duct injury occurred in 0.66% of cases.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Outcomes
Context:
- Laparoscopic cholecystectomy (LC) introduction in Denmark in 1991.
- Establishment of a prospective, nationwide case register for LC.
- Inclusion of all departments performing LC, ensuring comprehensive data collection.
Purpose:
- To evaluate the initial outcomes and safety profile of laparoscopic cholecystectomy (LC) in Denmark.
- To establish baseline data on procedure volume, surgeon experience, and complication rates.
- To assess the completeness of reporting by comparing register data with the National Patient Register.
Summary:
- 2,415 LCs were performed between 1991-1992 across 44 departments.
- Conversion to open surgery occurred in 10.5% of cases, significantly higher for acute cholecystitis (25.6%).
- Postoperative complications occurred in 9.6% of patients, with bile duct injury in 0.66% and mortality in 0.25% (all elderly patients).
Impact:
- Provides crucial early data on the safety and efficacy of LC in a national setting.
- Highlights areas for potential improvement, such as managing acute cholecystitis and preventing bile duct injuries.
- Demonstrates the feasibility of nationwide prospective surgical outcome registration.