The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals
Introduction: Laparoscopic cholecystectomy (LC) is a commonly performed surgical procedure with a low complication rate. It is performed either as an acute or as an elective procedure. Most elective LCs are performed on nonlethal diseases and this is why good quality is important. Our study compared...
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ftdoajarticles:oai:doaj.org/article:3835c5210b1b49e1aeaf13b0d35c4a83 2023-10-09T21:54:34+02:00 The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals Nina Odelberg Yücel Cengiz Arthur Jänes Joakim Hennings 2020-11-01T00:00:00Z https://doi.org/10.1080/08941939.2019.1579277 https://doaj.org/article/3835c5210b1b49e1aeaf13b0d35c4a83 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/08941939.2019.1579277 https://doaj.org/toc/0894-1939 https://doaj.org/toc/1521-0553 0894-1939 1521-0553 doi:10.1080/08941939.2019.1579277 https://doaj.org/article/3835c5210b1b49e1aeaf13b0d35c4a83 Journal of Investigative Surgery, Vol 33, Iss 10, Pp 924-929 (2020) laparoscopic cholecystectomy operative technique day surgery complications quality Surgery RD1-811 article 2020 ftdoajarticles https://doi.org/10.1080/08941939.2019.1579277 2023-09-17T00:35:18Z Introduction: Laparoscopic cholecystectomy (LC) is a commonly performed surgical procedure with a low complication rate. It is performed either as an acute or as an elective procedure. Most elective LCs are performed on nonlethal diseases and this is why good quality is important. Our study compared the quality of LC in two surgical units in northern Sweden (Sundsvall and Östersund) which use different clinical structures (subspecialised vs. general surgery) and surgical techniques (ultrasound fundus first vs. conventional diathermy). The study aimed to investigate whether these differences affected the quality of outcomes after LC. Materials and methods: This is a registry-based study which included 607 elective LCs from January 2014 to May 2016. There were 286 from Sundsvall and 321 from Östersund. Primary outcomes were operative time and the percentage of day surgeries. The secondary outcome was the presence of postoperative complications within the first 30 days in terms of bile duct injury, bleeding that necessitated reoperation, bile leakage and abscesses treated with drainage and mortality. Results: The time length of surgery was shorter in Sundsvall (mean 48.3 min) compared to Östersund (mean 108.6 min, p < 0.001. The percentage of day care surgeries was 94% in Sundsvall and 23% in Östersund, p < 0.001. Six patients (2.1%) had a complication in Sundsvall compared to seven patients (2.2%) in Östersund, p = 1.00. Conclusion: There is a significant difference between the two hospitals regarding operative time and the percentage of day surgeries. Complication rates in both units were equal and low. Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles Journal of Investigative Surgery 33 10 924 929 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
laparoscopic cholecystectomy operative technique day surgery complications quality Surgery RD1-811 |
spellingShingle |
laparoscopic cholecystectomy operative technique day surgery complications quality Surgery RD1-811 Nina Odelberg Yücel Cengiz Arthur Jänes Joakim Hennings The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals |
topic_facet |
laparoscopic cholecystectomy operative technique day surgery complications quality Surgery RD1-811 |
description |
Introduction: Laparoscopic cholecystectomy (LC) is a commonly performed surgical procedure with a low complication rate. It is performed either as an acute or as an elective procedure. Most elective LCs are performed on nonlethal diseases and this is why good quality is important. Our study compared the quality of LC in two surgical units in northern Sweden (Sundsvall and Östersund) which use different clinical structures (subspecialised vs. general surgery) and surgical techniques (ultrasound fundus first vs. conventional diathermy). The study aimed to investigate whether these differences affected the quality of outcomes after LC. Materials and methods: This is a registry-based study which included 607 elective LCs from January 2014 to May 2016. There were 286 from Sundsvall and 321 from Östersund. Primary outcomes were operative time and the percentage of day surgeries. The secondary outcome was the presence of postoperative complications within the first 30 days in terms of bile duct injury, bleeding that necessitated reoperation, bile leakage and abscesses treated with drainage and mortality. Results: The time length of surgery was shorter in Sundsvall (mean 48.3 min) compared to Östersund (mean 108.6 min, p < 0.001. The percentage of day care surgeries was 94% in Sundsvall and 23% in Östersund, p < 0.001. Six patients (2.1%) had a complication in Sundsvall compared to seven patients (2.2%) in Östersund, p = 1.00. Conclusion: There is a significant difference between the two hospitals regarding operative time and the percentage of day surgeries. Complication rates in both units were equal and low. |
format |
Article in Journal/Newspaper |
author |
Nina Odelberg Yücel Cengiz Arthur Jänes Joakim Hennings |
author_facet |
Nina Odelberg Yücel Cengiz Arthur Jänes Joakim Hennings |
author_sort |
Nina Odelberg |
title |
The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals |
title_short |
The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals |
title_full |
The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals |
title_fullStr |
The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals |
title_full_unstemmed |
The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals |
title_sort |
impact of a surgical unit’s structure and operative technique on quality in two swedish rural hospitals |
publisher |
Taylor & Francis Group |
publishDate |
2020 |
url |
https://doi.org/10.1080/08941939.2019.1579277 https://doaj.org/article/3835c5210b1b49e1aeaf13b0d35c4a83 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Journal of Investigative Surgery, Vol 33, Iss 10, Pp 924-929 (2020) |
op_relation |
http://dx.doi.org/10.1080/08941939.2019.1579277 https://doaj.org/toc/0894-1939 https://doaj.org/toc/1521-0553 0894-1939 1521-0553 doi:10.1080/08941939.2019.1579277 https://doaj.org/article/3835c5210b1b49e1aeaf13b0d35c4a83 |
op_doi |
https://doi.org/10.1080/08941939.2019.1579277 |
container_title |
Journal of Investigative Surgery |
container_volume |
33 |
container_issue |
10 |
container_start_page |
924 |
op_container_end_page |
929 |
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1779318193582505984 |