[Surgical quality assurance exemplified by surgical therapy of colorectal carcinoma].
In the period of time between September 1, 1991 and August 31, 1993 a total of 1927 patients at 22 East German hospitals were operated for colorectal carcinoma. In anticipation of quality assuring aspects these surgeries were registered and interpreted. An application of a constant classification (pTNM, R-classification) at this was essential. The resection rates of 87.3% on the colon (R0-resections 74.4%) and of 83.1% on the rectum (R0-resection 70.8%) were established in total patient group. Preoperative measures and technique of surgery were also registered. The rate of the colonic anastomosis insufficiencies was about 3.2%, resp. of the rectum 8.2%. Wound suppurations occurred after surgery of the colon in 6.5% of the cases, resp. the rectum in 9.9%. The postoperative mortality was 7.1% in the overall patient group. The practical realization and the efficiency of studies for quality assurance is pointed out.
Lippert
H
H
Ostedeutsche Arbeitsgruppe Leistungserfassung und Qualitätssicherung in der Chirurgie, Deutschen Gesellschaft für Chirurgie.
Gastinger
I
I
D003082:Colectomy / Q000379:methods; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005858:Germany; D006801:Humans; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000401:mortality; D013530:Surgical Wound Infection / Q000209:etiology / Q000401:mortality; D015996:Survival Rate; D016896:Treatment Outcome
Die chirurgische Qualitätssicherung am Beispiel der operativen Therapie des colorectalen Carcinoms.