Larsen Trine Stigaard, Schulze Svend, Kehlet Henrik
Glostrup Hospital, Kirurgisk Gastroenterologisk Afdeling D, Glostrup.
Ugeskr Laeger. 2007 Mar 19;169(12):1089-91.
The postoperative course following colorectal surgery has improved since the introduction of "fast track surgery", and laparoscopic surgery will probably optimize the results further. The aim of this study was to evaluate the implementation of laparoscopic colorectal surgery in Denmark.
The number of laparoscopic colorectal resections performed in the period between 1 January 2004 and 1 November 2005 was obtained from the National Patient Register of the National Board of Health.
A total of 441 laparoscopic colorectal resections were performed. 350 of these were colonic resections without creation of a stoma. These operations were performed in 23 departments, of which only 5 performed more than 20 laparoscopic resections. The median length of stay was 5 days, with a mean of 6.7 days after laparoscopic colon resection.
It is not appropriate that so many departments have started using this advanced laparoscopic procedure, due to the high learning curve, cost considerations and need for international consensus. It is proposed that the treatment be coordinated nationwide in order to optimise research and clinical results.
自“快速康复外科”引入以来，结直肠手术后的病程已有所改善，而腹腔镜手术可能会进一步优化治疗效果。本研究的目的是评估丹麦腹腔镜结直肠手术的实施情况。
从国家卫生局的国家患者登记处获取2004年1月1日至2005年11月1日期间进行的腹腔镜结直肠切除术的数量。
共进行了441例腹腔镜结直肠切除术。其中350例为不造口的结肠切除术。这些手术在23个科室进行，其中只有5个科室进行了超过20例的腹腔镜切除术。腹腔镜结肠切除术后的中位住院时间为5天，平均住院时间为6.7天。
由于学习曲线高、成本因素以及需要国际共识，如此多的科室开始使用这种先进的腹腔镜手术是不合适的。建议在全国范围内协调治疗，以优化研究和临床结果。
