Lam Chi Ming, Yuen Albert W, Chik Barbara, Wai Andy C, Fan Sheung Tat
Central Surgical Audit Unit, Hospital Authority, Hong Kong, China.
Arch Surg. 2005 Nov;140(11):1084-8. doi: 10.1001/archsurg.140.11.1084.
There is wide variation in the use of laparoscopic cholecystectomy (LC) for acute cholecystitis among all public hospitals in Hong Kong. The objective of this study was to determine the factors responsible for the use of LC for acute cholecystitis in a stable population.
A retrospective survey on 2353 patients with pathologically proven acute cholecystitis treated with cholecystectomy in Hong Kong from 1998 to 2002.
All public hospitals in Hong Kong.
The rate of using LC for acute cholecystitis increased by 30.4% from 1998 to 2002. We observed a wide variation in the use of LC for acute cholecystitis ranging from 3.7% to 92.9% (P<.001). There was no correlation between the number of cholecystectomies performed and the percentage of LCs performed in each hospital (P = .39). Logistic regression analysis showed that the hospital, year of operation, and age of the patients were independent variables for LC.
A wide variation in the use of LC for acute cholecystitis was observed among the public hospitals in Hong Kong. Young female patients from selected hospitals recently are more likely to be treated with LC.
香港所有公立医院在急性胆囊炎腹腔镜胆囊切除术（LC）的使用上存在很大差异。本研究的目的是确定在稳定人群中使用LC治疗急性胆囊炎的相关因素。
对1998年至2002年在香港接受胆囊切除术且病理证实为急性胆囊炎的2353例患者进行回顾性调查。
香港所有公立医院。
1998年至2002年，急性胆囊炎使用LC的比例上升了30.4%。我们观察到急性胆囊炎使用LC的比例差异很大，从3.7%到92.9%（P<0.001）。每家医院进行的胆囊切除术数量与LC实施的百分比之间无相关性（P = 0.39）。逻辑回归分析表明，医院、手术年份和患者年龄是LC的独立变量。
香港公立医院在急性胆囊炎使用LC方面存在很大差异。近期来自特定医院的年轻女性患者更有可能接受LC治疗。
