Behandlingen af akut cholecystitis i Danmark. Ett spörgeskemaundersögelse
Sammanfattning
Introduction: The aim of the study was to describe the treatment of acute cholecystitis in Denmark and to compare this to the recommendations given in the National Reference Programme for treatment of patients with gall bladder stones. Materials and methods: Questionnaire among all 52 general surgical departments in Denmark. Results: All departments returned the questionnaire. Totally 50 of the departments treated patients with acute cholecystitis. The treatment varied according to length of disease in 47. In 16 departments treatment was changed from laparoscopic cholecystectomy to another treatment modality, when the disease lasted more than 5 days. Laparoscopic cholecystectomy was the treatment of choice in 43 of the departments in patients with short length of disease, whereas 3 performed open cholecystectomy and 1 department drainage of the gall bladder. If the length of disease exceeded the predetermined limit for surgical intervention, 36 departments performed elective laparoscopic cholecystectomy later, whereas 7 departments used drainage of the gall bladder, 2 departments used routinely open cholecystectomy, and 1 department no operation. Discussion: In the majority of Danish surgical departments laparoscopic cholecystectomy is used in the treatment of acute cholecystitis. In only one third of the departments the treatment strategy was changed when length of disease exceeded 5 days. At this point there was a discrepancy between the recommendations given in the National Reference Programme. The same discrepancy but to a lesser degree was observed considering the use of drains.