[Organization and significance of quality control in recent surgical methods exemplified by 85 consecutive thoracoscopic interventions].
The rapid evolution or rather revolution of minimally invasive surgical techniques is stimulating new technical and clinical innovations. Quality control is of great importance in new areas of technical development where standards do not yet exist. By recording detailed documentation of patient data, indications, operative procedures and initial follow-up we can compare this new technology with the gold standard therapy. This documentation system for thoracoscopic interventions was developed together with the Swiss Group of Laparoscopic and Thoracoscopic Surgeons. This pilot project of 85 consecutive thoracoscopic interventions will demonstrate the acceptability, clinical application and ease with which data can be analyzed. Operative techniques are described in detail: 20 diagnostic interventions with biopsy, 19 apical parietal pleurectomies (+/- resections of bullous lung tissue), 10 therapeutic lung tissue resections, 19 palliative pleurodesis, 5 treatments of pleural empyema, 1 mediastinal tumor resection, 1 esophagectomy, 4 thoracic sympathectomies plus 6 other procedures. Data entry is efficient with mean total time of 10 min for each record. All of the data are entered into a computer database. The possibilities for interpreting and combining this data are presented. The operative techniques can easily be related with history, indications, anesthesia, complications and results. First evaluation of thoracoscopic efficiency is possible. In addition, a detailed analysis of intra- and postoperative complications and of the hospital course can be performed.
Chirurgische Klinik, Kantonsspital Chur.
M
M
Furrer
R
R
Inderbitzi
S
S
Riederer
A F
AF
Leutenegger
D004282:Documentation / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D010865:Pilot Projects; D011013:Pneumonectomy / Q000379:methods; D011785:Quality Assurance, Health Care; D011786:Quality Control; D013896:Thoracic Diseases / Q000473:pathology / Q000601:surgery*; D013899:Thoracic Neoplasms / Q000473:pathology / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D016896:Treatment Outcome
Organisation und Bedeutung von Qualitätskontrollen neuer Operationsmethoden am Beispiel von 85 konsekutiven thoracoskopischen Eingriffen.