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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Umeå universitet, Kirurgi
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ftumeauniv:oai:DiVA.org:umu-157960 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 Odelberg, Nina Cengiz, Yucel Jänes, Arthur Hennings, Joakim 2020 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157960 https://doi.org/10.1080/08941939.2019.1579277 eng eng Umeå universitet, Kirurgi Journal of investigative surgery, 0894-1939, 2020, 33, s. 924-929 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157960 doi:10.1080/08941939.2019.1579277 PMID 30885014 ISI:000461920800001 Scopus 2-s2.0-85096449213 info:eu-repo/semantics/openAccess laparoscopic cholecystectomy operative technique day surgery complications quality Surgery Kirurgi Article in journal info:eu-repo/semantics/article text 2020 ftumeauniv https://doi.org/10.1080/08941939.2019.1579277 2023-09-22T13:57:32Z 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 ostersund) 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 ostersund. 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 ostersund (mean 108.6 min, p < 0.001. The percentage of day care surgeries was 94% in Sundsvall and 23% in ostersund, p < 0.001. Six patients (2.1%) had a complication in Sundsvall compared to seven patients (2.2%) in ostersund, 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 Umeå University: Publications (DiVA) Journal of Investigative Surgery 33 10 924 929 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
laparoscopic cholecystectomy operative technique day surgery complications quality Surgery Kirurgi |
spellingShingle |
laparoscopic cholecystectomy operative technique day surgery complications quality Surgery Kirurgi Odelberg, Nina Cengiz, Yucel Jänes, Arthur Hennings, Joakim 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 Kirurgi |
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 ostersund) 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 ostersund. 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 ostersund (mean 108.6 min, p < 0.001. The percentage of day care surgeries was 94% in Sundsvall and 23% in ostersund, p < 0.001. Six patients (2.1%) had a complication in Sundsvall compared to seven patients (2.2%) in ostersund, 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 |
Odelberg, Nina Cengiz, Yucel Jänes, Arthur Hennings, Joakim |
author_facet |
Odelberg, Nina Cengiz, Yucel Jänes, Arthur Hennings, Joakim |
author_sort |
Odelberg, Nina |
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 |
Umeå universitet, Kirurgi |
publishDate |
2020 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157960 https://doi.org/10.1080/08941939.2019.1579277 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Journal of investigative surgery, 0894-1939, 2020, 33, s. 924-929 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157960 doi:10.1080/08941939.2019.1579277 PMID 30885014 ISI:000461920800001 Scopus 2-s2.0-85096449213 |
op_rights |
info:eu-repo/semantics/openAccess |
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 |
_version_ |
1779318191188606976 |