Leverresektioner i Danmark 2002-2007

Lone S Jensen; Frank V Mortensen; Maria Gerding Iversen; Anette Jørgensen; Preben Kirkegaard; Henrik Kehlet

Leverresektioner i Danmark 2002-2007

Lone S Jensen, Frank V Mortensen, Maria Gerding Iversen, Anette Jørgensen, Preben Kirkegaard, Henrik Kehlet

Institut for Klinisk Medicin

7 Citationer (Scopus)

Abstract

INTRODUCTION: We evaluated the organisation, management and outcome for patients undergoing elective liver resection in Denmark in the period 2002-2007. MATERIAL AND METHODS: Nationwide data based on the National Patient Registry and discharge information from hospital departments in the period 1 January 2002 to 31 December 2007 were analysed. RESULTS: Twenty-three departments performed 818 resections with five departments performing 96% and 18 departments performing 4% of the operations. The amount of non-anatomical resections constituted 30% (248 of 818) of the resections. The median postoperative stay was nine days, and the hospital mortality rate was 3.9%, distributed between 2.4% for non-anatomical resections, 2.9% for segmental resections and 5.2% for right-sided hepatectomy. CONCLUSION: The number of treated patients was too small as was the number referred to highly specialised liver surgery units. Moreover, the amount of non-anatomical resections was too high as was the average postoperative stay and the hospital mortality rate. In future, we propose that liver resections be centralised in 2-3 hospitals each capable of providing all the following services: surgery, hepatology, oncology and interventional radiology.
Udgivelsesdato: 2009-Apr-20

Bidragets oversatte titel	Liver surgery in Denmark 2002-2007
Originalsprog	Dansk
Tidsskrift	Ugeskrift for læger
Vol/bind	171
Udgave nummer	17
Sider (fra-til)	1365-8
Antal sider	4
ISSN	0041-5782
Status	Udgivet - 2009

Citationsformater

@article{f017b770582311df928f000ea68e967b,

title = "Leverresektioner i Danmark 2002-2007",

abstract = "INTRODUCTION: We evaluated the organisation, management and outcome for patients undergoing elective liver resection in Denmark in the period 2002-2007. MATERIAL AND METHODS: Nationwide data based on the National Patient Registry and discharge information from hospital departments in the period 1 January 2002 to 31 December 2007 were analysed. RESULTS: Twenty-three departments performed 818 resections with five departments performing 96% and 18 departments performing 4% of the operations. The amount of non-anatomical resections constituted 30% (248 of 818) of the resections. The median postoperative stay was nine days, and the hospital mortality rate was 3.9%, distributed between 2.4% for non-anatomical resections, 2.9% for segmental resections and 5.2% for right-sided hepatectomy. CONCLUSION: The number of treated patients was too small as was the number referred to highly specialised liver surgery units. Moreover, the amount of non-anatomical resections was too high as was the average postoperative stay and the hospital mortality rate. In future, we propose that liver resections be centralised in 2-3 hospitals each capable of providing all the following services: surgery, hepatology, oncology and interventional radiology. Udgivelsesdato: 2009-Apr-20",

author = "Jensen, {Lone S} and Mortensen, {Frank V} and Iversen, {Maria Gerding} and Anette J{\o}rgensen and Preben Kirkegaard and Henrik Kehlet",

note = "Keywords: Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Colorectal Neoplasms; Denmark; Hepatectomy; Hospital Mortality; Humans; Infant; Length of Stay; Liver Neoplasms; Middle Aged; Outcome Assessment (Health Care); Postoperative Complications; Registries; Surgical Procedures, Elective; Young Adult",

year = "2009",

language = "Dansk",

volume = "171",

pages = "1365--8",

journal = "Ugeskrift for Laeger",

issn = "0041-5782",

publisher = "Almindelige Danske Laegeforening",

number = "17",

}

TY - JOUR

T1 - Leverresektioner i Danmark 2002-2007

AU - Jensen, Lone S

AU - Mortensen, Frank V

AU - Iversen, Maria Gerding

AU - Jørgensen, Anette

AU - Kirkegaard, Preben

AU - Kehlet, Henrik

N1 - Keywords: Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Colorectal Neoplasms; Denmark; Hepatectomy; Hospital Mortality; Humans; Infant; Length of Stay; Liver Neoplasms; Middle Aged; Outcome Assessment (Health Care); Postoperative Complications; Registries; Surgical Procedures, Elective; Young Adult

PY - 2009

Y1 - 2009

N2 - INTRODUCTION: We evaluated the organisation, management and outcome for patients undergoing elective liver resection in Denmark in the period 2002-2007. MATERIAL AND METHODS: Nationwide data based on the National Patient Registry and discharge information from hospital departments in the period 1 January 2002 to 31 December 2007 were analysed. RESULTS: Twenty-three departments performed 818 resections with five departments performing 96% and 18 departments performing 4% of the operations. The amount of non-anatomical resections constituted 30% (248 of 818) of the resections. The median postoperative stay was nine days, and the hospital mortality rate was 3.9%, distributed between 2.4% for non-anatomical resections, 2.9% for segmental resections and 5.2% for right-sided hepatectomy. CONCLUSION: The number of treated patients was too small as was the number referred to highly specialised liver surgery units. Moreover, the amount of non-anatomical resections was too high as was the average postoperative stay and the hospital mortality rate. In future, we propose that liver resections be centralised in 2-3 hospitals each capable of providing all the following services: surgery, hepatology, oncology and interventional radiology. Udgivelsesdato: 2009-Apr-20

AB - INTRODUCTION: We evaluated the organisation, management and outcome for patients undergoing elective liver resection in Denmark in the period 2002-2007. MATERIAL AND METHODS: Nationwide data based on the National Patient Registry and discharge information from hospital departments in the period 1 January 2002 to 31 December 2007 were analysed. RESULTS: Twenty-three departments performed 818 resections with five departments performing 96% and 18 departments performing 4% of the operations. The amount of non-anatomical resections constituted 30% (248 of 818) of the resections. The median postoperative stay was nine days, and the hospital mortality rate was 3.9%, distributed between 2.4% for non-anatomical resections, 2.9% for segmental resections and 5.2% for right-sided hepatectomy. CONCLUSION: The number of treated patients was too small as was the number referred to highly specialised liver surgery units. Moreover, the amount of non-anatomical resections was too high as was the average postoperative stay and the hospital mortality rate. In future, we propose that liver resections be centralised in 2-3 hospitals each capable of providing all the following services: surgery, hepatology, oncology and interventional radiology. Udgivelsesdato: 2009-Apr-20

M3 - Tidsskriftartikel

C2 - 19413929

SN - 0041-5782

VL - 171

SP - 1365

EP - 1368

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

IS - 17

ER -