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What are the appropriate indicators of surgical difficulty during laparoscopic cholecystectomy? Results from a Japan-Korea-Taiwan multinational survey
- Source :
- Journal of hepato-biliary-pancreatic sciences. 23(9)
- Publication Year :
- 2016
-
Abstract
- Serious complications continue to occur in laparoscopic cholecystectomy (LC). The commonly used indicators of surgical difficulty such as the duration of surgery are insufficient because they are surgeon and institution dependent. We aimed to identify appropriate indicators of surgical difficulty during LC.A total of 26 Japanese expert LC surgeons discussed using the nominal group technique (NGT) to generate a list of intraoperative findings that contribute to surgical difficulty. Thereafter, a survey was circulated to 61 experts in Japan, Korea, and Taiwan. The questionnaire addressed LC experience, surgical strategy, and perceptions of 30 intraoperative findings listed by the NGT.The response rate of the survey was 100%. There was a statistically significant difference among nations regarding the duration of surgery and adoption rate of safety measures and recognition of landmarks. The criteria for conversion to an open or subtotal cholecystectomy were at the discretion of each surgeon. In contrast, perceptions of the impact of 30 intraoperative findings on surgical difficulty (categorized by factors related to inflammation and additional findings of the gallbladder and other intra-abdominal factors) were consistent among surgeons.Intraoperative findings are objective and considered to be appropriate indicators of surgical difficulty during LC.
- Subjects :
- Male
Quality Control
Surgeons
Internationality
Intraoperative Care
Dissection
Operative Time
Taiwan
Gallbladder
Laparoscopes
Cross-Sectional Studies
Serous Membrane
Treatment Outcome
Cholecystectomy, Laparoscopic
Japan
Risk Factors
Surveys and Questionnaires
Republic of Korea
Humans
Female
Intraoperative Complications
Follow-Up Studies
Subjects
Details
- ISSN :
- 18686982
- Volume :
- 23
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of hepato-biliary-pancreatic sciences
- Accession number :
- edsair.pmid..........90a29049402794e02c848e0f3b8909d6