Key result
Increased laparoscopic colonic surgery linked to a ~3-day shorter median postoperative hospital stay.
Why the study?
How has the length of stay after laparoscopic colonic surgery changed over an 11-year period in Denmark?
Observational (n=4,582)
Yes
How has the length of stay after laparoscopic colonic surgery changed over an 11-year period in Denmark?
The use of laparoscopic colonic resection in Denmark increased from 2000 to 2010, with a concomitant decrease in postoperative length of stay.
Laparoscopic colonic resection was associated with shorter stays; leaves open whether adoption or concurrent perioperative changes drove the decline.
AIM: The use of laparoscopic colonic surgery in Denmark was analysed with particular reference to the length of stay. METHOD: Data were obtained from the Danish National Patient Registry to assess duration of hospital stay after laparoscopic colonic surgery in Denmark within the 11-year period from 2000 to 2010. RESULTS: There were 4582 laparoscopic colonic resections performed, reaching about 1000 operations/year in the last 2 years (2009-2010). Length of stay decreased from a median of 7 to 4 days, while mean length of stay only decreased from 9 to 7 days. CONCLUSION: The use of laparoscopic colonic resection has increased in Denmark over the last 11 years and with a concomitant decrease in postoperative length of stay. However, there is a need for further improvement by combining the laparoscopic technique with fast-track recovery.
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Kehlet et al. (2011) conducted an observational in Laparoscopic colonic surgery (n=4,582). Laparoscopic colonic surgery was evaluated on Length of hospital stay. Laparoscopic colonic resections in Denmark increased over an 11-year period (n=4582), with a concomitant decrease in median postoperative length of stay from 7 to 4 days.
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