Geographical differences in upper abdominal resectional surgery and high-volume procedures in Sweden during 2009–2011

Sundbom, Magnus; Hedberg, Jakob

doi:10.3109/00365521.2013.865786

Cited by 2 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on earlier work on operative volumes in upper abdominal surgery (1, 2), we wanted to investigate the role of laparoscopy in four common procedures, that is, cholecystectomy, appendectomy, reflux surgery, and bariatric surgery, and evaluate the development in four fields of major resectional surgery (colorectal, esophago-gastric, liver, and pancreatic resections). The chosen procedures are characterized by quick transition in laparoscopic cholecystectomy, in contrast to a slow start in laparoscopic appendectomy, and an increased total number of procedures in reflux and bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

Use of Laparoscopy in Gastrointestinal Surgery in Sweden 1998–2014: A Nationwide Study

Sundbom

Hedberg

2016

Scand J Surg

View full text Add to dashboard Cite

Background and Aims: one by one, minimally invasive alternatives to established gastrointestinal procedures have become clinical routine. we have studied the use of laparoscopy in four common procedures-cholecystectomy, appendectomy, reflux surgery, and bariatric surgery-as well as in major resectional gastrointestinal surgery in sweden.Materials and Methods: the national patient registry was used to identify all inhospital procedures performed in patients above the age of 15 during 1998-2014, meeting our inclusion criteria. for each group, the annual number of procedures and proportion of laparoscopic surgery were studied, as well as applicable subgroups. differences in age, gender, as well as geographical differences were evaluated in the most recent 3-year period (2012-2014).Results: in total, 537,817 procedures were studied, 43% by laparoscopic approach. in 2012-2014, the proportion of laparoscopic surgery ranged from high rates in the four common procedures (cholecystectomy 81%, appendectomy 47%, reflux surgery 72%, and bariatric surgery 97%) to rather low numbers in resectional surgery (4%-10%), however, increasing in the last years. in appendectomy and cholecystectomy, men were less likely to have laparoscopic surgery (42% versus 51% and 74% versus 85%, respectively, p < 0.001). substantial geographical differences in the use of laparoscopy were also noted, for example, the proportion of laparoscopic appendectomy varied from 11% to 76% among the 21 different swedish counties.Conclusion: the proportion of laparoscopy was high in the four common procedures and low, but rising, in major resectional surgery. a large variation in the proportion of laparoscopic surgery by age, gender, and place of residence was noted.

show abstract

Section: Introductionmentioning

confidence: 99%

Use of Laparoscopy in Gastrointestinal Surgery in Sweden 1998–2014: A Nationwide Study

Sundbom

Hedberg

2016

Scand J Surg

View full text Add to dashboard Cite

show abstract

High resection rate improves overall survival in elderly patients with pancreatic head cancer – A cohort study

Johansen

Lundgren

Gasslander

et al. 2021

International Journal of Surgery Open

View full text Add to dashboard Cite

Background: There is evidence that a high hospital volume of pancreaticoduodenectomy improves short- and long-term outcomes, but there are few population-based studies on the effect of a high resection rate in the population. The aim of this national, observational study was primarily to investigate differences in overall survival among elderly patients with cancer in the pancreatic head between high and low resection rate groups and secondarily to determine if counties with high resection rates of pancreaticoduodenectomy had more severe complications after surgery. Materials and methods: All patients in the Swedish National Registry for tumours in the pancreatic and periampullary region diagnosed between 2010 and 2018 with pancreatic head cancer were included in this retrospective cohort study. Patients were divided into low and high resection rate groups according to the yearly resection rates in the respective counties. For operative outcomes, all patients who had undergone pancreaticoduodenectomy were included regardless of diagnosis. The primary outcome of the study was overall survival among patients aged ≥70 years with pancreatic head cancer. Results: Among 13 933 patients in the registry, 7661 were 70 years or older, of whom 3006 had pancreatic head cancer. Overall survival was longer in high resection rate groups for patients aged ≥70 years, as for the age subgroups 70–79 years and ≥80 years (all p < 0.001). Among patients who had undergone pancreaticoduodenectomy aged ≥80 years the high resection rate counties showed an increased rate of severe complications, but no increase in 90-day mortality. Conclusion: High resection rate groups show a significantly longer overall survival among elderly patients with pancreatic head cancer in Sweden. This implies that there could be a survival benefit from increasing resections in low resection rate groups. Highlights

show abstract

Geographical differences in upper abdominal resectional surgery and high-volume procedures in Sweden during 2009–2011

Cited by 2 publications

References 14 publications

Use of Laparoscopy in Gastrointestinal Surgery in Sweden 1998–2014: A Nationwide Study

Use of Laparoscopy in Gastrointestinal Surgery in Sweden 1998–2014: A Nationwide Study

High resection rate improves overall survival in elderly patients with pancreatic head cancer – A cohort study

Contact Info

Product

Resources

About