Title: Invited commentary for a nationwide analysis of gallbladder surgery in England between 2000 and 2019
Abstract: Cholecystectomy is the most commonly performed procedure worldwide to treat gallstone disease. Lunevicius et al provide evidence that the management of this disease is shifting in England. They demonstrate that the proportion of subtotal cholecystectomies and surgical cholecystostomy tubes performed relative to the proportion of total cholecystectomies has increased significantly since 2000. Owing to the limited data fields in the database used for this study, the article is unable to inform surgeons on how this trend affects patient outcomes. The authors stipulate that the increase in subtotal cholecystectomy rate may be concerning, as use should classically be limited to "extraordinary circumstances." However, there are many who view these data with optimism. This commentary will focus on evidence that subtotal cholecystectomy is the appropriate alternative approach to total cholecystectomy in cases that are not at the extreme end of the spectrum. A nationwide analysis of gallbladder surgery in England between 2000 and 2019SurgeryVol. 171Issue 2PreviewThere are no reports on nationwide trends in subtotal cholecystectomy (STC) and cholecystostomy in England. We hypothesized that, as in the United States, a substantial increase in the utilization of these surgical procedures, over time, may be observed. We aimed to generate a reliable report on 4 of the most common gallbladder surgical procedures in England to allow cross-procedure comparisons and highlight significant changes in the management of benign gallbladder disease over time. Full-Text PDF
Publication Year: 2022
Publication Date: 2022-02-01
Language: en
Type: letter
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 1
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