{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:52:00Z","timestamp":1757613120278,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Qual Health Care"],"published-print":{"date-parts":[[1995,3]]},"abstract":"<jats:p>OBJECTIVE--To compare the three month outcome of open and laparoscopic cholecystectomy. DESIGN--Prospective assessment of outcome for a series of patients encompassing the introduction of the laparoscopic technique. SETTING--One teaching hospital. PATIENTS--269 patients admitted for open cholecystectomy between January 1989 and March 1992 and 122 admitted for laparoscopic cholecystectomy between January 1991 and March 1992. MAIN MEASURES--Patients' reported symptoms and self assessed scores with the Nottingham health profile before operation and at three month follow up. Incidence of complications and adverse events after discharge. RESULTS--Similar improvements in symptom rates and health scores were seen regardless of surgical technique. A lower rate of postoperative complications was seen in the patients given laparoscopic surgery (6\/95(6%) v 45\/235(19%)), and their mean length of stay was lower (4.5 v 9.8 days). Similar results were obtained when the analysis was restricted to a subset of fairly uncomplicated cases (patients aged 60 or less without other illnesses on admission who were not undergoing emergency or urgent surgery), which constituted a larger proportion of the group given laparoscopy (35\/95(37%) v 40\/235(17%)). Between these two groups no significant difference was seen in the frequency of relevant readmissions to hospital or visits to general practitioners or accident and emergency departments. CONCLUSION--Ideally, a new surgical technique would be evaluated in a randomised trial. In the absence of such a trial, this observational study provides some evidence that the switch from open to laparoscopic cholecystectomy has brought benefits, particularly in terms of reduced length of stay in hospital. A range of clinical and patient derived indicators suggests that these gains have not been associated with a reduction in the quality of the outcome at three months.<\/jats:p>","DOI":"10.1136\/qshc.4.1.13","type":"journal-article","created":{"date-parts":[[2008,9,29]],"date-time":"2008-09-29T13:52:26Z","timestamp":1222696346000},"page":"13-17","source":"Crossref","is-referenced-by-count":8,"title":["Comparison of short term outcomes of open and laparoscopic cholecystectomy."],"prefix":"10.1136","volume":"4","author":[{"given":"R","family":"Cleary","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C W","family":"Venables","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Watson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Goodfellow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P D","family":"Wright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1995,3,1]]},"reference":[{"key":"ref_1","first-page":"60","article-title":"Coelioscopic cholecystectomy","volume":"211","author":"Dubois, F.; Berthelot, Icard P.; G, Levard; H.","year":"1990","unstructured":"Dubois F, Icard P. Berthelot G, Levard H. Coelioscopic cholecystectomy. Ann Surg 1990;211:60-2"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/BF00591357","article-title":"Laparoscopic laser cholecystectomy","volume":"3","author":"Reddick, E.J.; Olsen, D.O.","year":"1989","unstructured":"Reddick EJ, Olsen DO. Laparoscopic laser cholecystectomy. Surg Endosc 1989;3:131-3.","journal-title":"Surg Endosc"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1001\/jama.1991.03460120087042","article-title":"Laparoscopic cholecystectomy - a remarkable development","volume":"265","author":"Wolfe, B.M.; Gardiner, B.; Frey, C.F.","year":"1991","unstructured":"Wolfe BM, Gardiner B, Frey CF. Laparoscopic cholecystectomy - a remarkable development. 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Quality in Health Care 1992;1:10-4.","journal-title":"Quality in Health Care"},{"key":"ref_9","first-page":"163","article-title":"The rise and fall of the random controlled trial in surgery","volume":"4","author":"Pollock, A.V.","year":"1989","unstructured":"Pollock AV. The rise and fall of the random controlled trial in surgery. Theoretical Surgery 1989;4: 163-70.","journal-title":"Theoretical Surgery"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1136\/bmj.309.6946.18","article-title":"Validity of assessing change through audit","volume":"309","author":"MacRae, K.","year":"1994","unstructured":"MacRae K. Validity of assessing change through audit. BMJ 1994;309: 18-9.","journal-title":"BMJ"},{"issue":"4","key":"ref_11","first-page":"15","article-title":"Diagnostic and interventional laparoscopy for the general surgeon","volume":"37","author":"Sackier, J.M.; Berci, G.","year":"1990","unstructured":"Sackier JM, Berci G. Diagnostic and interventional laparoscopy for the general surgeon. 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