[General practice-relevant conclusions based on 74,400 documented biliary surgery interventions]. / Praxisrelevante Schlussfolgerungen anhand von 74,400 erfassten gallenchirurgischen Eingriffen.
Zentralbl Chir
; 125 Suppl 2: 218-23, 2000.
Article
em De
| MEDLINE
| ID: mdl-11190650
ABSTRACT
A statewide report card system for cholecystectomy as a surgical tracer has been established in Westfalia-Lippe as part of a program of external quality assurance. 74,400 data between 1993 and 1997 were analyzed. Pathologic findings in preoperative diagnostics (sonography, elevated bilirubin) do not lead to therapeutic splitting in a sufficient number of cases. Removal of bile duct stones should happen at the latest during cholecytectomy. Preoperative gastroscopy is performed in just about 40%. Higher rates of morbidity and lethality in the aged favour an early elective operation of symptomatic stones.
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Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Colecistectomia
/
Colelitíase
/
Cálculos Biliares
Idioma:
De
Ano de publicação:
2000
Tipo de documento:
Article