With the advent of laparoscopic cholecystectomy patient outcomes and choice of procedure (laparoscopic vs open) are of vital interest.
The purpose of this study was to examine the mortality and complication rates for patients undergoing laparoscopic and open cholecystectomy in New York State and to test for differences among hospital peer groups and regions of the state in the tendency to use the laparoscopic approach.
A population-based, retrospective cohort study of laparoscopic and open cholecystectomy was conducted in which data were analyzed on all 30,968 patients who underwent cholecistectomy as a principal procedure in New York State in 1996.
A total of 78. 7% of the 30,968 patients who underwent cholecystectomy as a principal procedure in New York State in 1996 underwent laparoscopic cholecystectomy.
The mortality rate was lower for laparoscopic cholecystectomy than for the open procedure (0.23% vs 1.90%, P<. 0001) and remained significantly lower after patient characteristics related to patient survival (odds ratio 0.34, P<. 0001) were controlled for.
The prevalence rate of the 8 most common complications among cholecystectomy patients was also much lower among patients undergoing laparoscopic cholecystectomy. (...)
Mots-clés Pascal : Cholécystite, Homme, Traitement, Chirurgie, Etude comparative, Cholécystectomie, Endoscopie, Laparotomie, Mortalité, Complication, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Coeliochirurgie, Appareil digestif pathologie, Voie biliaire pathologie, Chirurgie endoscopique
Mots-clés Pascal anglais : Cholecystitis, Human, Treatment, Surgery, Comparative study, Cholecystectomy, Endoscopy, Laparotomy, Mortality, Complication, Epidemiology, United States, North America, America, Laparoscopic surgery, Digestive diseases, Biliary tract disease, Endoscopic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0127386
Code Inist : 002B25G03. Création : 16/11/1999.