School of Population Health, University of Queensland, Brisbane, QLD, Australia.
Med J Aust. 2011 May 2;194(9):443-7. doi: 10.5694/j.1326-5377.2011.tb03056.x.
To examine the trends in the uptake of laparoscopic resection for colorectal cancer.
Retrospective analysis of Australia-wide data on elective resections for colorectal cancer over the 8 financial years 2000-01 to 2007-08, obtained from the National Hospital Morbidity Database.
National trends in annual percentage of colorectal resections for cancer that were conducted laparoscopically for each year, stratified by hospitals conducting a high volume of elective resections (40 or more/year) versus a low volume, and by public versus private hospitals.
For all Australian hospitals combined, the percentage of resections for colon cancer conducted laparoscopically increased from 2.4% in 2000-01 to 27.5% in 2007-08. For rectal cancer, this increase was from 1.1% to 21.5%. The largest increases were seen in high-volume private hospitals (colon cancer, 2.7% to 34.1%; rectal cancer, 1.5% to 26.2%), but increases also occurred in high-volume public hospitals (colon cancer, 2.7% to 32.2%; rectal cancer, 0.5% to 20.3%), low-volume private (colon cancer, 3.8% to 27.1%; rectal cancer, 2.4% to 25.5%) and low-volume public (colon cancer, 1.1% to 17.0%; rectal cancer, 0.5% to 13.8%) hospitals.
The use of laparoscopic resection for colorectal cancer has increased throughout Australian hospitals. Our findings provide the data necessary to ensure adequate resource allocation by the appropriate medical bodies to achieve optimal success in the uptake of laparoscopic resection for colorectal cancer in Australia.
探讨腹腔镜结直肠癌切除术的应用趋势。
回顾性分析 2000-01 年至 2007-08 年 8 个财政年度澳大利亚全国范围内的择期结直肠癌切除术的全国性数据，这些数据来自国家医院发病率数据库。
每年接受腹腔镜结直肠癌切除术的结直肠癌比例的全国趋势，根据每年进行 40 例以上择期切除术的医院（高容量医院）和低容量医院以及公立医院和私立医院进行分层。
对于所有澳大利亚医院，腹腔镜结肠癌切除术的比例从 2000-01 年的 2.4%增加到 2007-08 年的 27.5%。对于直肠癌，这一比例从 1.1%增加到 21.5%。最大的增长发生在高容量私立医院（结肠癌，2.7%至 34.1%；直肠癌，1.5%至 26.2%），但高容量公立医院（结肠癌，2.7%至 32.2%；直肠癌，0.5%至 20.3%）、低容量私立医院（结肠癌，3.8%至 27.1%；直肠癌，2.4%至 25.5%）和低容量公立医院（结肠癌，1.1%至 17.0%；直肠癌，0.5%至 13.8%）也出现了增长。
澳大利亚各医院腹腔镜结直肠癌切除术的应用有所增加。我们的发现为适当的医疗机构提供了必要的数据，以确保资源的合理分配，从而在澳大利亚实现腹腔镜结直肠癌切除术的最佳成功率。
