[Current status of gallstone surgery in Germany. Results of a survey and retrospective analysis of 27,403 interventions--open vs. laparoscopic surgery].
Based on a representative poll, which included a retrospective data analysis, the current surgical approach to gallstone disease in Germany is presented. A total of 25,955 procedures in 1991 is analysed. 24.9% of all cholecystectomies were done laparoscopically. In 1992, already 81.4% of all surgeons reported own experiences with this new technique. Comparing open procedures with laparoscopic cholecystectomy the latter showed a lower incidence of complications (6.8 vs 8.7%) and perioperative death (0.14 vs. 0.43%). In contrast, relaparotomies were more frequent in the laparoscopy group (1.48 vs. 0.84%). The diagnostic and therapeutic approach for common bile duct stones is currently changing. There is a tendency towards less invasive endoscopic and laparoscopic procedures and towards their combination, respectively.
Krämling
H J
HJ
Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.
Lange
V
V
Heberer
G
G
D002763:Cholecystectomy / Q000706:statistics & numerical data*; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data*; D002769:Cholelithiasis / Q000453:epidemiology / Q000601:surgery*; D003430:Cross-Sectional Studies; D042882:Gallstones / Q000453:epidemiology / Q000601:surgery; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000601:surgery; D012086:Reoperation
Aktueller Stand der Gallensteinchirurgie in Deutschland. Umfrageergebnisse und retrospektive Analyse von 27,403 Eingriffen--offene vs. laparoskopische Chirurgie.