Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Use of laparoscopic procedure for gallbladder removal varies widely

22.11.2005


There is a wide variation in the use of laparoscopic surgery for gall bladder removal in Hong Kong hospitals, and use of this procedure is more likely at certain hospitals and among younger female patients operated on more recently, according to a study in the November issue of Archives of Surgery, one of the JAMA/Archives journals.



Laparoscopic cholecystectomy (LC, removal of the gallbladder by laparoscopy) is a well-established technique for the management of symptomatic gallstone disease. But acute cholecystitis (inflammation of the gallbladder) has been considered a relative, if not absolute, contraindication for LC because of the technical difficulties and a higher complication rate, according to background information in the article.

Chi Ming Lam, M.S., F.R.C.S., and colleagues with the Hospital Authority, Hong Kong, China, and the University of Hong Kong, investigated the variation in surgical treatment of acute cholecystitis in a stable population and the factors determining the use of LC in the emergency condition. They conducted a retrospective survey on 2,353 patients with pathologically proven acute cholecystitis who had gallbladder surgery at all public hospitals in Hong Kong from 1998 to 2002. The study reflected the practice of LC for acute cholecystitis in about 86 percent of the inpatient population in Hong Kong.


"The rate of using LC for acute cholecystitis increased by 30.4 percent from 1998 to 2002," the authors report. "We observed a wide variation in the use of LC for acute cholecystitis ranging from 3.7 percent to 92.9 percent." Certain factors, including the hospital, year of operation, and patient age were associated with increased rates of LC. "Young female patients from selected hospitals [operated on] recently are more likely to be treated with LC," they continue.

The authors point out that even though the laparoscopic approach has become the method of choice for elective gallbladder removal, conventional open cholecystectomy still remains the treatment of choice for acute cholecystitis for many surgeons--mainly because of concerns about bile duct injuries and an excessively high conversion rate (a procedure that begins using the laparoscopic technique, but then requires "converting" to an open laparotomy for gall bladder removal).

"The application of LC in the emergency condition is technically demanding and certainly needs to be performed by experienced laparoscopic surgeons," they assert.

"The present study demonstrated that, on a population basis, the use of LC for acute cholecystitis is increasingly popular among surgeons," the authors conclude. "More LCs for acute cholecystitis have been performed recently. In a relatively stable population, younger female patients in selected hospitals are more likely to have LC for acute cholecystitis."

Chi Ming Lam | EurekAlert!
Further information:
http://www.jamamedia.org

More articles from Health and Medicine:

nachricht 3D images of cancer cells in the body: Medical physicists from Halle present new method
16.05.2018 | Martin-Luther-Universität Halle-Wittenberg

nachricht Better equipped in the fight against lung cancer
16.05.2018 | Friedrich-Alexander-Universität Erlangen-Nürnberg

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: LZH showcases laser material processing of tomorrow at the LASYS 2018

At the LASYS 2018, from June 5th to 7th, the Laser Zentrum Hannover e.V. (LZH) will be showcasing processes for the laser material processing of tomorrow in hall 4 at stand 4E75. With blown bomb shells the LZH will present first results of a research project on civil security.

At this year's LASYS, the LZH will exhibit light-based processes such as cutting, welding, ablation and structuring as well as additive manufacturing for...

Im Focus: Self-illuminating pixels for a new display generation

There are videos on the internet that can make one marvel at technology. For example, a smartphone is casually bent around the arm or a thin-film display is rolled in all directions and with almost every diameter. From the user's point of view, this looks fantastic. From a professional point of view, however, the question arises: Is that already possible?

At Display Week 2018, scientists from the Fraunhofer Institute for Applied Polymer Research IAP will be demonstrating today’s technological possibilities and...

Im Focus: Explanation for puzzling quantum oscillations has been found

So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics

Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...

Im Focus: Dozens of binaries from Milky Way's globular clusters could be detectable by LISA

Next-generation gravitational wave detector in space will complement LIGO on Earth

The historic first detection of gravitational waves from colliding black holes far outside our galaxy opened a new window to understanding the universe. A...

Im Focus: Entangled atoms shine in unison

A team led by Austrian experimental physicist Rainer Blatt has succeeded in characterizing the quantum entanglement of two spatially separated atoms by observing their light emission. This fundamental demonstration could lead to the development of highly sensitive optical gradiometers for the precise measurement of the gravitational field or the earth's magnetic field.

The age of quantum technology has long been heralded. Decades of research into the quantum world have led to the development of methods that make it possible...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Save the date: Forum European Neuroscience – 07-11 July 2018 in Berlin, Germany

02.05.2018 | Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

Unique scope of UV LED technologies and applications presented in Berlin: ICULTA-2018

12.04.2018 | Event News

 
Latest News

Research reveals how order first appears in liquid crystals

23.05.2018 | Life Sciences

Space-like gravity weakens biochemical signals in muscle formation

23.05.2018 | Life Sciences

NIST puts the optical microscope under the microscope to achieve atomic accuracy

23.05.2018 | Physics and Astronomy

VideoLinks
Science & Research
Overview of more VideoLinks >>>