在苏格兰引入腹腔镜胆囊切除术后，胆囊切除术的比率有所上升。
Increased cholecystectomy rate after the introduction of laparoscopic cholecystectomy in Scotland.
作者信息
Lam C M, Murray F E, Cuschieri A
机构信息
Department of Surgery, Ninewells Hospital and Medical School, University of Dundee.
出版信息
Gut. 1996 Feb;38(2):282-4. doi: 10.1136/gut.38.2.282.
Abstract
This survey determined the effect of the introduction of laparoscopic cholecystectomy on the rates of cholecystectomy (total and laparoscopic) in Scotland. From 1977 to 1990, the Scottish cholecystectomy rate fell by an average of almost 1% per annum. With the advent of laparoscopic cholecystectomy, the total cholecystectomy rate (open and laparoscopic) rose considerably--by 18.7% from 1989-93 (p < 0.05). The largest increase (25%) was observed in the 45-64 years age group but it was also particularly evident (19%) in elderly patients (65-74 years). Subjects were more likely to undergo laparoscopic cholecystectomy than open cholecystectomy if they were young and female. The increased cholecystectomy rate observed merits careful scrutiny and health economic evaluation.
摘要
这项调查确定了在苏格兰引入腹腔镜胆囊切除术对胆囊切除术（包括传统开腹和腹腔镜手术）发生率的影响。1977年至1990年期间，苏格兰的胆囊切除术发生率平均每年下降近1%。随着腹腔镜胆囊切除术的出现，总的胆囊切除术发生率（开腹和腹腔镜手术）大幅上升——从1989年至1993年上升了18.7%（p<0.05）。最大的增幅（25%）出现在45至64岁年龄组，但在老年患者（65至74岁）中也尤为明显（19%）。如果患者年轻且为女性，那么他们接受腹腔镜胆囊切除术的可能性要高于开腹胆囊切除术。观察到的胆囊切除术发生率增加值得仔细审查和进行卫生经济学评估。
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