Document Detail

Laparoscopy in the last decade of the millennium: have we really improved?
MedLine Citation:
PMID:  12582758     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aims of the study were to evaluate the evolution of laparoscopic surgery during the past decade in terms of variations in the quality (complexity) of the procedures performed and of modifications in patient outcome. METHODS: A retrospective analysis was performed of 3022 consecutive patients undergoing 99 different laparoscopic procedures at a center specialized in laparoscopic abdominal surgery. All the procedures were classified according to three classes of complexity. Results relating to the first 1511 patients were compared to those of the last 1511 patients. RESULTS: In the second group, medium- to high-class complexity procedures significantly increased, conversion rate was higher only for straightforward procedures, duration of low- to medium-class complexity procedures decreased, only the rate of slight complications increased, and mean postoperative hospital stay was longer. Frequency of conversion in medium- to high-class complexity procedures and severe complications was not different in the two periods. CONCLUSIONS: The quality of laparoscopic surgery has improved during the past decade, with no increase in the frequency of conversion or of major complications.
R Costi; C Denet; L Sarli; T Perniceni; L Roncoroni; B Gayet
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Publication Detail:
Type:  Journal Article     Date:  2003-02-17
Journal Detail:
Title:  Surgical endoscopy     Volume:  17     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-08     Completed Date:  2003-08-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  791-7     Citation Subset:  IM    
Instituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università di Parma, Via Gramsci 14, 43100 Parma, Italy.
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MeSH Terms
Aged, 80 and over
Gastroscopy / classification,  methods,  trends
Hospitalization / trends
Laparoscopy / classification,  trends*
Length of Stay / trends
Middle Aged
Postoperative Complications / epidemiology
Reoperation / trends
Retrospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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