[Progress of surgical treatment in the last 10 years. Comparative study of surgical interventions performed between 1993-1995 versus between 2003-2005].
In the last decade of the past century, as laparoscopy was introduced in our clinic in 1993, minimal access therapy (MAT--endoscopy, angiography, interventional imagery) had a positive and constant evolution. Our paper retrospectively evaluates the interventions performed between 2003-2005 (group A) compared to those performed between 1993-1995 (group B). We observed a 17.08% (7056 vs 6026 interventions/year) raise in the total number of interventions in group A, with a significant 66% decrease (195 vs. 588 interventions/year) of interventions for gastro-duodenal ulcer and a 18% decrease (1211 vs 1490 interventions/year) of appendectomies, but a 63% increase (1560 vs. 955 interventions/year) of cholecystectomies, 53% increase (1186 vs. 773 interventions/year) of interventions for parietal defects and a 62% (626 vs. 325 interventions/year) increase of oncological interventions. The most frequent interventions were, in the order of frequencies: cholecystectomies (79.8% laparoscopically), appendectomies, interventions for hernia and eventrations, oncological operations and trauma surgery. The incidence of laparoscopic interventions was greater in group A, counting for 19% of the total number of interventions. In group A were performed 2334 endoscopies, 149 diagnostic and therapeutic angiographies. Postoperative mortality dropped with 29.64% and hospital stay dropped to 4.7 days. We believe that the incidence of MAT should rise, by performing more laparoscopic interventions and this change should lead to a revision of the surgical residents training program.
Nicolau
A E
AE
Clinica Chirurgie, Spitalul de Urgenta Floreasca, Bucureşti. anicolau@easynet.ro
Argaseala
Izabela
I
Merlan
V
V
Micu
B
B
Enache
Oana
O
Veste
V
V
Beuran
M
M
Bucur
A I
AI
Constantinescu
G
G
Popa
B
B
Racoveanu
Ileana
I
D001064:Appendicitis / Q000601:surgery; D041761:Cholecystolithiasis / Q000601:surgery; D004066:Digestive System Diseases / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods / Q000401:mortality; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data; D010437:Peptic Ulcer / Q000601:surgery; D012189:Retrospective Studies; D012383:Romania