The uptake of laparoscopic colorectal surgery in Great Britain and Ireland: a questionnaire survey of consultant members of the ACPGBI

• Published in: Colorectal disease 2009-03, Vol.11 (3), p.318-322
• Main Authors: Schwab, K. E., Dowson, H. M., Van Dellen, J., Marks, C. G., Rockall, T. A.
• Format: Article
• Language: English
• Subjects: Attitude of Health Personnel; colorectal disease; Colorectal Neoplasms - epidemiology; Colorectal Neoplasms - pathology; Colorectal Neoplasms - surgery; Colorectal Surgery - methods; Colorectal Surgery - trends; Female; Follow-Up Studies; Forecasting; Health Care Surveys; Humans; Incidence; Ireland; Laparoscopic colorectal surgery; laparoscopy; Laparoscopy - methods; Laparoscopy - trends; Male; Practice Patterns, Physicians' - trends; Risk Assessment; Sensitivity and Specificity; Surveys and Questionnaires; training; Treatment Outcome; United Kingdom
• ISSN: 1462-8910; 1463-1318
• DOI: 10.1111/j.1463-1318.2008.01601.x

Objective  The National Institute for Clinical Excellence (NICE) has recommended laparoscopic resection as an alternative to open surgery for patients with colorectal cancer. The aim of this study was to evaluate the current uptake of laparoscopic colorectal surgery in Great Britain and Ireland. Method  A questionnaire was distributed to members of the Association of Coloproctology of Great Britain and Ireland (ACPGBI) regarding their current surgical practice. Results were analysed individually, by region, and nationwide. Results  Information was received on 436 consultants (in 155 replies), of whom 233 (53%) perform laparoscopic colorectal procedures. During the previous year, 25% of colorectal resections were performed laparoscopically by the respondents. However, of those surgeons who were performing laparoscopic resections, only 30% performed more than half of all their resections laparoscopically. Right hemicolectomy, left‐sided resections, and rectopexy were the most frequently performed laparoscopic resections. There was an even distribution throughout the country of consultants performing laparoscopic resections (regional IQR 48–60%). The main reason for consultants not performing laparoscopic procedures was a lack of training or funding. Conclusion  Laparoscopic colorectal surgery is being performed by more than half (53%) of colorectal consultants nationwide, although only a quarter of all procedures are being undertaken laparoscopically.