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Does using a laparoscopic approach to cholecystectomy decrease the risk of surgical site infection?
To assess the impact of laparoscopy on surgical site infections (SSIs) following cholecystectomy in a large population of patients. Previous investigations have demonstrated that laparoscopic cholecystectomy is associated with a shorter postoperative stay and fewer overall complications. Less is kno...
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Published in: | Annals of surgery 2003-03, Vol.237 (3), p.358-362 |
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container_title | Annals of surgery |
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creator | RICHARDS, Chesley EDWARDS, Jonathan CULVER, David EMORI, T. Grace TOLSON, James GAYNES, Robert |
description | To assess the impact of laparoscopy on surgical site infections (SSIs) following cholecystectomy in a large population of patients.
Previous investigations have demonstrated that laparoscopic cholecystectomy is associated with a shorter postoperative stay and fewer overall complications. Less is known about the impact of laparoscopy on the risk for SSIs.
Epidemiologic analysis was performed on data collected during a 7-year period (1992-1999) by participating hospitals in the National Nosocomial Infections Surveillance (NNIS) System in the United States.
For 54,504 inpatient cholecystectomy procedures reported, use of the laparoscopic technique increased from 59% in 1992 to 79% in 1999. The overall rate of SSI was significantly lower for laparoscopic cholecystectomy than for open cholecystectomy. Overall, infecting organisms were similar for both approaches. Even after controlling for other significant factors, the risk for SSI was lower in patients undergoing the laparoscopic technique than the open technique.
Laparoscopic cholecystectomy is associated with a lower risk for SSI than open cholecystectomy, even after adjusting for other risk factors. For interhospital comparisons, SSI rates following cholecystectomy should be stratified by the type of technique. |
doi_str_mv | 10.1097/01.SLA.0000055221.50062.7A |
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Previous investigations have demonstrated that laparoscopic cholecystectomy is associated with a shorter postoperative stay and fewer overall complications. Less is known about the impact of laparoscopy on the risk for SSIs.
Epidemiologic analysis was performed on data collected during a 7-year period (1992-1999) by participating hospitals in the National Nosocomial Infections Surveillance (NNIS) System in the United States.
For 54,504 inpatient cholecystectomy procedures reported, use of the laparoscopic technique increased from 59% in 1992 to 79% in 1999. The overall rate of SSI was significantly lower for laparoscopic cholecystectomy than for open cholecystectomy. Overall, infecting organisms were similar for both approaches. Even after controlling for other significant factors, the risk for SSI was lower in patients undergoing the laparoscopic technique than the open technique.
Laparoscopic cholecystectomy is associated with a lower risk for SSI than open cholecystectomy, even after adjusting for other risk factors. For interhospital comparisons, SSI rates following cholecystectomy should be stratified by the type of technique.</description><identifier>ISSN: 0003-4932</identifier><identifier>EISSN: 1528-1140</identifier><identifier>DOI: 10.1097/01.SLA.0000055221.50062.7A</identifier><identifier>PMID: 12616119</identifier><identifier>CODEN: ANSUA5</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Biological and medical sciences ; Cholecystectomy - adverse effects ; Cholecystectomy, Laparoscopic - adverse effects ; Cross Infection - diagnosis ; Cross Infection - microbiology ; Female ; Humans ; Liver, biliary tract, pancreas, portal circulation, spleen ; Logistic Models ; Male ; Medical sciences ; Multivariate Analysis ; Original ; Risk Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Surgical Wound Infection - diagnosis ; Surgical Wound Infection - microbiology</subject><ispartof>Annals of surgery, 2003-03, Vol.237 (3), p.358-362</ispartof><rights>2003 INIST-CNRS</rights><rights>2003 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c299a-b16f4e364a051945e776b183203ce5f2ee630b7d5f6ddb69fb77d293c16511bb3</citedby><cites>FETCH-LOGICAL-c299a-b16f4e364a051945e776b183203ce5f2ee630b7d5f6ddb69fb77d293c16511bb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1514308/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1514308/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14639791$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12616119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RICHARDS, Chesley</creatorcontrib><creatorcontrib>EDWARDS, Jonathan</creatorcontrib><creatorcontrib>CULVER, David</creatorcontrib><creatorcontrib>EMORI, T. Grace</creatorcontrib><creatorcontrib>TOLSON, James</creatorcontrib><creatorcontrib>GAYNES, Robert</creatorcontrib><creatorcontrib>National Nosocomial Infections Surveillance (NNIS) System, Centers for Disease Control and Prevention</creatorcontrib><title>Does using a laparoscopic approach to cholecystectomy decrease the risk of surgical site infection?</title><title>Annals of surgery</title><addtitle>Ann Surg</addtitle><description>To assess the impact of laparoscopy on surgical site infections (SSIs) following cholecystectomy in a large population of patients.
Previous investigations have demonstrated that laparoscopic cholecystectomy is associated with a shorter postoperative stay and fewer overall complications. Less is known about the impact of laparoscopy on the risk for SSIs.
Epidemiologic analysis was performed on data collected during a 7-year period (1992-1999) by participating hospitals in the National Nosocomial Infections Surveillance (NNIS) System in the United States.
For 54,504 inpatient cholecystectomy procedures reported, use of the laparoscopic technique increased from 59% in 1992 to 79% in 1999. The overall rate of SSI was significantly lower for laparoscopic cholecystectomy than for open cholecystectomy. Overall, infecting organisms were similar for both approaches. Even after controlling for other significant factors, the risk for SSI was lower in patients undergoing the laparoscopic technique than the open technique.
Laparoscopic cholecystectomy is associated with a lower risk for SSI than open cholecystectomy, even after adjusting for other risk factors. For interhospital comparisons, SSI rates following cholecystectomy should be stratified by the type of technique.</description><subject>Biological and medical sciences</subject><subject>Cholecystectomy - adverse effects</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cross Infection - diagnosis</subject><subject>Cross Infection - microbiology</subject><subject>Female</subject><subject>Humans</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>Original</subject><subject>Risk Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Surgical Wound Infection - diagnosis</subject><subject>Surgical Wound Infection - microbiology</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpVkU2P0zAQhi0EYsvCX0AWEtwSPHZsxxxA1fIpVeIAnC3HmbSGNA52gtR_j5etKMzFh3nmHWseQp4Bq4EZ_ZJB_WW3rdltSck51JIxxWu9vUc2IHlbATTsPtmUvqgaI_gVeZTzd8agaZl-SK6AK1AAZkP824iZrjlMe-ro6GaXYvZxDp66eU7R-QNdIvWHOKI_5QX9Eo8n2qNP6DLS5YA0hfyDxoHmNe2DdyPNYUEapqHAIU5vHpMHgxszPjm_1-Tb-3dfbz5Wu88fPt1sd5XnxriqAzU0KFTjmATTSNRaddAKzoRHOXBEJVinezmovu-UGTqte26EByUBuk5ck9d3ufPaHbH3OC3JjXZO4ejSyUYX7P-dKRzsPv6yIKERrC0BL84BKf5cMS_2GLLHcXQTxjVbLZhu2wYK-OoO9OVaOeHwdwkwe-vIMrDFkb04sn8cWb0tw0___eZl9CylAM_PgMvlnENykw_5wjVKGG1A_Aalr5zJ</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>RICHARDS, Chesley</creator><creator>EDWARDS, Jonathan</creator><creator>CULVER, David</creator><creator>EMORI, T. Grace</creator><creator>TOLSON, James</creator><creator>GAYNES, Robert</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20030301</creationdate><title>Does using a laparoscopic approach to cholecystectomy decrease the risk of surgical site infection?</title><author>RICHARDS, Chesley ; EDWARDS, Jonathan ; CULVER, David ; EMORI, T. Grace ; TOLSON, James ; GAYNES, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c299a-b16f4e364a051945e776b183203ce5f2ee630b7d5f6ddb69fb77d293c16511bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Cholecystectomy - adverse effects</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cross Infection - diagnosis</topic><topic>Cross Infection - microbiology</topic><topic>Female</topic><topic>Humans</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multivariate Analysis</topic><topic>Original</topic><topic>Risk Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Surgical Wound Infection - diagnosis</topic><topic>Surgical Wound Infection - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RICHARDS, Chesley</creatorcontrib><creatorcontrib>EDWARDS, Jonathan</creatorcontrib><creatorcontrib>CULVER, David</creatorcontrib><creatorcontrib>EMORI, T. Grace</creatorcontrib><creatorcontrib>TOLSON, James</creatorcontrib><creatorcontrib>GAYNES, Robert</creatorcontrib><creatorcontrib>National Nosocomial Infections Surveillance (NNIS) System, Centers for Disease Control and Prevention</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RICHARDS, Chesley</au><au>EDWARDS, Jonathan</au><au>CULVER, David</au><au>EMORI, T. Grace</au><au>TOLSON, James</au><au>GAYNES, Robert</au><aucorp>National Nosocomial Infections Surveillance (NNIS) System, Centers for Disease Control and Prevention</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does using a laparoscopic approach to cholecystectomy decrease the risk of surgical site infection?</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>237</volume><issue>3</issue><spage>358</spage><epage>362</epage><pages>358-362</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><coden>ANSUA5</coden><abstract>To assess the impact of laparoscopy on surgical site infections (SSIs) following cholecystectomy in a large population of patients.
Previous investigations have demonstrated that laparoscopic cholecystectomy is associated with a shorter postoperative stay and fewer overall complications. Less is known about the impact of laparoscopy on the risk for SSIs.
Epidemiologic analysis was performed on data collected during a 7-year period (1992-1999) by participating hospitals in the National Nosocomial Infections Surveillance (NNIS) System in the United States.
For 54,504 inpatient cholecystectomy procedures reported, use of the laparoscopic technique increased from 59% in 1992 to 79% in 1999. The overall rate of SSI was significantly lower for laparoscopic cholecystectomy than for open cholecystectomy. Overall, infecting organisms were similar for both approaches. Even after controlling for other significant factors, the risk for SSI was lower in patients undergoing the laparoscopic technique than the open technique.
Laparoscopic cholecystectomy is associated with a lower risk for SSI than open cholecystectomy, even after adjusting for other risk factors. For interhospital comparisons, SSI rates following cholecystectomy should be stratified by the type of technique.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12616119</pmid><doi>10.1097/01.SLA.0000055221.50062.7A</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Biological and medical sciences Cholecystectomy - adverse effects Cholecystectomy, Laparoscopic - adverse effects Cross Infection - diagnosis Cross Infection - microbiology Female Humans Liver, biliary tract, pancreas, portal circulation, spleen Logistic Models Male Medical sciences Multivariate Analysis Original Risk Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical Wound Infection - diagnosis Surgical Wound Infection - microbiology |
title | Does using a laparoscopic approach to cholecystectomy decrease the risk of surgical site infection? |
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