Abstract
Background: There has been a debate about the cost-effectiveness of Iaparoscopic cholecystectomy (LC), as well as a concern regarding its possible overutilization and changes in the indication for surgery. Methods: A retrospective analysis of all cholecystectomies performed at UCDMC from 1988 to 1994 was done. The annual rate of cholecystectomy increased by 50% in 1990 when LC was introduced but has since stabilized at a rate 11 % higher than the rate before LC. The disease status and severity did not change. Results: The incidence of nonelective surgery remained stable at 31.2% to 37.5%. Elective cholecystectomy had lower mortality (0.16% vs 1.8%, P = 0.029), morbidity (2.6% vs 11.2%, P = 0.0001), and conversion rate (2.6% vs 16%, P = 0.0001) and a shorter length of stay (2.1 days vs 5.4 days), compared with nonelective procedure. Conclusions: The indication for surgery in cholelithiasis has not changed since the introduction of LC. In patients with symptomatic gallstones, early elective surgery is recommended and may be more cost-effective.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 746-750 |
| Number of pages | 5 |
| Journal | Surgical Endoscopy |
| Volume | 10 |
| Issue number | 7 |
| State | Published - Jul 1996 |
Fingerprint
Keywords
- Cholelithiasis
- Elective vs nonelective surgery
- Indication for surgery
- Laparoscopic cholecystectomy
ASJC Scopus subject areas
- Surgery
Cite this
The impact of laparoscopic cholecystectomy on the treatment of symptomatic cholelithiasis. / Ho, Hung S; Mathiesen, K. A.; Wolfe, B. M.
In: Surgical Endoscopy, Vol. 10, No. 7, 07.1996, p. 746-750.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The impact of laparoscopic cholecystectomy on the treatment of symptomatic cholelithiasis
AU - Ho, Hung S
AU - Mathiesen, K. A.
AU - Wolfe, B. M.
PY - 1996/7
Y1 - 1996/7
N2 - Background: There has been a debate about the cost-effectiveness of Iaparoscopic cholecystectomy (LC), as well as a concern regarding its possible overutilization and changes in the indication for surgery. Methods: A retrospective analysis of all cholecystectomies performed at UCDMC from 1988 to 1994 was done. The annual rate of cholecystectomy increased by 50% in 1990 when LC was introduced but has since stabilized at a rate 11 % higher than the rate before LC. The disease status and severity did not change. Results: The incidence of nonelective surgery remained stable at 31.2% to 37.5%. Elective cholecystectomy had lower mortality (0.16% vs 1.8%, P = 0.029), morbidity (2.6% vs 11.2%, P = 0.0001), and conversion rate (2.6% vs 16%, P = 0.0001) and a shorter length of stay (2.1 days vs 5.4 days), compared with nonelective procedure. Conclusions: The indication for surgery in cholelithiasis has not changed since the introduction of LC. In patients with symptomatic gallstones, early elective surgery is recommended and may be more cost-effective.
AB - Background: There has been a debate about the cost-effectiveness of Iaparoscopic cholecystectomy (LC), as well as a concern regarding its possible overutilization and changes in the indication for surgery. Methods: A retrospective analysis of all cholecystectomies performed at UCDMC from 1988 to 1994 was done. The annual rate of cholecystectomy increased by 50% in 1990 when LC was introduced but has since stabilized at a rate 11 % higher than the rate before LC. The disease status and severity did not change. Results: The incidence of nonelective surgery remained stable at 31.2% to 37.5%. Elective cholecystectomy had lower mortality (0.16% vs 1.8%, P = 0.029), morbidity (2.6% vs 11.2%, P = 0.0001), and conversion rate (2.6% vs 16%, P = 0.0001) and a shorter length of stay (2.1 days vs 5.4 days), compared with nonelective procedure. Conclusions: The indication for surgery in cholelithiasis has not changed since the introduction of LC. In patients with symptomatic gallstones, early elective surgery is recommended and may be more cost-effective.
KW - Cholelithiasis
KW - Elective vs nonelective surgery
KW - Indication for surgery
KW - Laparoscopic cholecystectomy
UR - http://www.scopus.com/inward/record.url?scp=0030191648&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030191648&partnerID=8YFLogxK
M3 - Article
C2 - 8662432
AN - SCOPUS:0030191648
VL - 10
SP - 746
EP - 750
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
SN - 0930-2794
IS - 7
ER -