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  • Title: [General practice-relevant conclusions based on 74,400 documented biliary surgery interventions].
    Author: Windhorst T, Hupe K, Wenning M.
    Journal: Zentralbl Chir; 2000; 125 Suppl 2():218-23. PubMed ID: 11190650.
    Abstract:
    A statewide report card system for cholecystectomy as a surgical tracer has been established in Westfalia-Lippe as part of a program of external quality assurance. 74,400 data between 1993 and 1997 were analyzed. Pathologic findings in preoperative diagnostics (sonography, elevated bilirubin) do not lead to therapeutic splitting in a sufficient number of cases. Removal of bile duct stones should happen at the latest during cholecytectomy. Preoperative gastroscopy is performed in just about 40%. Higher rates of morbidity and lethality in the aged favour an early elective operation of symptomatic stones.
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