title: [Laparoscopic surgery in regions: problems and ways of development].
abstract: The modern state of laparoscopic surgery in northern regions (Komi republic, Murmansk, Arkhangelsk and Vologda regions) of Russian Federation was surveyed according to the reports of 1998-2007 and 2009 years. Thus, the investigation revealed, that not more than 30% of general surgeons are handle laparoscopic technique. Laparoscopic procedures comprise about 20% of all abdominal operations in the surveyed regions. Statictically significant differences in the use of laparoscopic surgery were revealed between the regions (p<0,001). In 2009 laparoscopically treated were: 82-98,5% cases of chronic calculous cholecystitis; 37,5-70,3% cases of the acute calculous cholecystitis; 1,0-10,7% of the acute appendicitis and 0,5-7,8% of patients with perforated ulcer. Nevertheless, the increase of the laparoscopic share is statistically expected within 5 next years.
authors.forename: A V
authors.initials: AV
authors.lastname: Fedorov
authors.forename: V E
authors.initials: VE
authors.lastname: Oloviannyĭ
mesh_terms: D034841:Abdominal Cavity / Q000601:surgery; D001064:Appendicitis / Q000453:epidemiology / Q000601:surgery; D002764:Cholecystitis / Q000453:epidemiology / Q000601:surgery; D054625:Healthcare Disparities; D006801:Humans; D020706:Laparoscopes / Q000592:standards / Q000706:statistics & numerical data*; D010535:Laparoscopy / Q000193:education / Q000592:standards / Q000706:statistics & numerical data; D008505:Medical Staff, Hospital / Q000193:education* / Q000592:standards; D020380:Needs Assessment; D010439:Peptic Ulcer Perforation / Q000453:epidemiology / Q000601:surgery; D012426:Russia / Q000453:epidemiology; D013192:Staff Development; D059039:Standard of Care