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Laparoscopic cholecystectomy: the Austrian experience

W U Wayand1, T Gitter, R Woisetschläger

  • 1II. Chirurgische Abteilung des Allgemeinen öffentlichen Krankenhauses der Stadt Linz, Austria.

Journal of the Royal College of Surgeons of Edinburgh
|June 1, 1993
PubMed
Summary

Laparoscopic cholecystectomies (LCH) saw rapid adoption in Austria, with 70% of hospitals performing the procedure by 1991. The study highlights the safety and efficacy of LCH, with a low complication rate.

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Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Outcomes

Background:

  • Laparoscopic cholecystectomy (LCH) has emerged as a preferred surgical technique.
  • Assessing the early adoption and outcomes of LCH is crucial for surgical practice.

Purpose of the Study:

  • To evaluate the penetration and outcomes of laparoscopic cholecystectomies in Austria during the early phase of its adoption.

Main Methods:

  • Retrospective analysis of laparoscopic cholecystectomy data from Austrian hospitals between 1990 and 1991.
  • Data collection focused on the number of procedures, conversion rates, and complication rates.

Main Results:

  • Hospital participation in LCH increased significantly from 20% in 1990 to 70% in 1991.

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  • A total of 7351 LCHs were performed with a 97% uneventful outcome rate.
  • Low rates of secondary laparotomy (0.8%), common bile duct injury (0.5%), and mortality (0.1%) were observed.

    • Conclusions:

    • Laparoscopic cholecystectomy demonstrated rapid acceptance and a favorable safety profile in Austria during the study period.
    • Austria's comprehensive data collection provides valuable insights into the early national-level implementation of LCH.