[Nephrectomy in denmark 2002-2005]. / Nefrektomi i Danmark 2002-2005.
Ugeskr Laeger
; 168(15): 1526-8, 2006 Apr 10.
Article
em Da
| MEDLINE
| ID: mdl-16640972
ABSTRACT
INTRODUCTION:
Implementation of principles of fast-track surgery as well as laparoscopy may decrease hospital stay after nephrectomy to about 2-4 days. The aim of this study was to analyse the incidence, use of laparoscopic vs. open nephrectomy, hospital stay, morbidity and mortality in Danish hospitals within the period 2002-2005.METHODS:
Extraction of information from the National Patient Register (LPR) and discharge notes from Jan. 1 2002 to Dec. 31 2004.RESULTS:
In the 3-year period, 1968 nephrectomies were performed in a total of 45 departments, decreasing to 29 departments in 2004. Five departments performed > 100 operations during the 3 years, 10 departments performed between 50-100 operations and 30 departments <50 operations during the 3 years. The average length of hospital stay (primary and readmission) was 9.1 days. The total mortality rate was 2.2%; lower (1.5%) in departments with high activity vs. departments with low activity (4.3%, p < 0.01). Laparoscopic surgery was performed in 11 departments with a hospital stay of 5.2 vs. 9.5 days and with fewer surgical and medical complications and mortality (0.4% vs. 2.5%), compared with open operation.CONCLUSION:
The organisation and results after nephrectomy are not optimal on a nationwide basis. This precludes further optimisation of the early perioperative results, including use of the laparoscopic approach combined with the principles of fast-track surgery. It is suggested that nephrectomy in the future is performed in fewer departments to fulfil these needs.
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Base de dados:
MEDLINE
Assunto principal:
Nefrectomia
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
Da
Revista:
Ugeskr Laeger
Ano de publicação:
2006
Tipo de documento:
Article