Medical Student
Benjamin Pedersen
Faculty of Health Sciences, University of Southern Denmark
Project management | ||
Project status | Closed | |
Data collection dates | ||
Start | 01.09.2016 | |
End | 01.01.2017 | |
Earlier studies have concluded that an increasing number of laparoscopic cholecystectomies are being carried out on a national scale. The main indiactaion for cholecystectomy in the uncomplicated cases with gallbladder stones is "socially debillitating pain" which is vaguely defined.
The objective of this study is to determine the indication for operation vs. conservative treatment with the following hypothesis:
Hypothesis:
Asymptomatic ("silent") gallbladder stones are a common phenomenon in the general population. A subgroup will eventually experience symptoms (E.g. abdominal pain) and even fewer will experience complications (E.g. cholecystitis), which is preferably treated with laparoscopic cholecystectomy under the main indication: "Socially debilitating pain". Earlier studies have shown that up to 47% of patients undergoing laparoscopic cholecystectomy will still experience symptoms after surgery, not to mention that about 1% experience major postoperative complications. Therefore, conservative treatment including weak analgesics as needed and observation might be a preferable alternative to operation in non-complicated cases that only suffer from mild or rare symptoms. Despite this, earlier studies have shown that the number of cholecystectomies in Denmark has increased from approximately 67 operations pr. 100.000 inhabitants in 1989 to 142 operations pr. 100.000 inhabitant s in 2003.
With this study we want to determine the indication for operation vs. conservative treatment in non-complicated gallstone disease patients.
This study includes all patientens with symptomatic non-complicated gallstone disease, referede to Nyborg or Svendborg hospital for evaluation during the period from January 1, 2014 to December 31, 2015. Patients will be identified using the hospital diagnosis system (ICD-10).
Variables collected form each patient record:
Diagnostic tool:
Other information
*If yes: Is socially debilitating pain described or explained in any way? (yes/no)
Co-morbidity (yes/no):
Exclusion criteria:
Department of Surgery, Odense University Hospital
Faculty of Health Sciences, University of Southern Denmark