| Travelling surgeons--a clinical audit of laparoscopic cholecystectomy procedures in Northland, New Zealand. | |
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MedLine Citation:
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PMID: 19966876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: The aim of this study was to assess the safety of laparoscopic cholecystectomy surgery performed in a peripheral hospital by travelling surgeons. METHODS: A retrospective audit of laparoscopic cholecystectomy operations performed in Kaitaia hospital was completed and compared with international literature. Data was collected for procedures completed between March 2005 and August 2006. Information on patient demographics, admission, diagnosis, and length of stay were gathered, as well as information regarding complications of stump leak, conversion rate to open cholecystectomy, infection, postoperative Endoscopic Retrograde Cholangio Pancreatogram (ERCP) requirement and death. RESULTS: 149 laparoscopic cholecystectomies were performed in Kaitaia. Conversion to open was 5.4%. When all complications were compared no statistically significant difference could be found between complication rates in Kaitaia and those in international literature in almost all categories studied. Common Bile Duct (CBD) injury in Kaitaia was found to be lower than that reported in international literature. CONCLUSIONS: Laparoscopic cholecystectomies are performed safely in Kaitaia hospital by travelling surgeons. Surgery performed in Kaitaia showed low complication rates, even by international standards. This is not surprising given the high number of elective operations. |
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Authors:
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Shaun M Ryan; Peter Milsom; Joseph Yang; Gerrie Snyman |
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Publication Detail:
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Type: Journal Article Date: 2009-10-30 |
Journal Detail:
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Title: The New Zealand medical journal Volume: 122 ISSN: 1175-8716 ISO Abbreviation: N. Z. Med. J. Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-12-07 Completed Date: 2010-01-06 Revised Date: 2010-10-22 |
Medline Journal Info:
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Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: New Zealand |
Other Details:
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Languages: eng Pagination: 34-40 Citation Subset: IM |
Affiliation:
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Department of Surgery, Northland DHB, Whangarei, New Zealand. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Cholecystectomy, Laparoscopic* / adverse effects, utilization Female Hospitals, Rural* Humans Length of Stay Male Medical Audit* Medically Underserved Area* Middle Aged New Zealand Postoperative Complications Safety* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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