内镜逆行胰胆管造影术：中心医院会更好吗？反对内镜逆行胰胆管造影服务集中化的理由。
Endoscopic retrograde cholangiopancreatography: is the centre better? The case against centralisation of ERCP services.
作者信息
Muller A Frank
出版信息
Frontline Gastroenterol. 2013 Jul;4(3):210-212. doi: 10.1136/flgastro-2012-100182. Epub 2012 Nov 29.
Abstract
More than 48 000 endoscopic retrograde cholangiopancreatographies (ERCP) are performed in the UK per annum; the majority within district general hospitals. The proposal for centralisation of ERCP services is based on evidence that technical success, length of stay and complication rates are related to the numbers of procedures performed. Local units wishing to continue their ERCP practice, must demonstrate that they are performing sufficient numbers of procedures in a safe, timely and competent fashion.
摘要
英国每年进行超过48000例内镜逆行胰胆管造影术（ERCP）；大多数手术在地区综合医院进行。ERCP服务集中化的提议基于这样的证据：技术成功率、住院时间和并发症发生率与手术例数有关。希望继续开展ERCP手术的当地单位必须证明他们能够以安全、及时且专业的方式进行足够数量的手术。
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