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Current Status of Laparoscopic Surgery in China: Review of more than 150,000 Cases
Author(s) -
LIU Guoli
Publication year - 1999
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1999.tb00005.x
Subject(s) - medicine , laparoscopic cholecystectomy , laparoscopic surgery , general surgery , bile duct , open surgery , cholecystectomy , surgery , china , laparoscopy , political science , law
To review the use of laparoscopic surgery in China, in 1997 the Chinese Society of Laparoscopic Surgery sent questionnaires to all hospitals which undertake laparoscopic surgery. Analyzable questionnaires were returned from 222 hospitals. A total of 156,515 patients in 222 hospitals had undergone laparoscopic surgery by the end of March, 1998. These included 50 categories of laparoscopic general surgery, 9 categories of gynaecologic surgery, 7 categories of urological surgery, and 13 categories of thoracoscopic surgery. Laparoscopic cholecystectomy accounted for 91% of all 156,515 cases. Among these 3005 cases (2.1%) were changed to open cholecystectomy or lapa‐rotomy, and 1025 cases (0.71%) developed operative complications, with a mortality of 0.02% (27 cases). The mean rate of bile duct injury was 0.19% (range 0–2%) with bile leak in 0.14%, hemorrhage in 0.11%, and bowel injuries in 0.04% of patients. Since its introduction in 1991 in China, laparoscopic surgery has become increasingly widely used, especially for choecystectomy. It should continue to develop with further economic progress in China. (Dig Endosc 1999; 11: 215–219)