title: [General practice-relevant conclusions based on 74,400 documented biliary surgery interventions].
abstract: A statewide report card system for cholecystectomy as a surgical tracer has been established in Westfalia-Lippe as part of a program of external quality assurance. 74,400 data between 1993 and 1997 were analyzed. Pathologic findings in preoperative diagnostics (sonography, elevated bilirubin) do not lead to therapeutic splitting in a sufficient number of cases. Removal of bile duct stones should happen at the latest during cholecytectomy. Preoperative gastroscopy is performed in just about 40%. Higher rates of morbidity and lethality in the aged favour an early elective operation of symptomatic stones.
authors.affiliation: Städtische Kliniken Bielefeld Mitte.
authors.forename: T
authors.initials: T
authors.lastname: Windhorst
authors.forename: K
authors.initials: K
authors.lastname: Hupe
authors.forename: M
authors.initials: M
authors.lastname: Wenning
mesh_terms: D000368:Aged; D002763:Cholecystectomy / Q000706:statistics & numerical data*; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data; D002769:Cholelithiasis / Q000401:mortality / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000401:mortality / Q000601:surgery*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011785:Quality Assurance, Health Care; D015996:Survival Rate