Laparoscopic cholecystectomy is associated with a shorter postoperative stay and fewer overall complications. Less is known about the impact of laparoscopy on the risk surgical site infections (SSIs).
In this study, researchers assessed the impact of laparoscopy on SSIs following cholecystectomy in a large population of patients.
The team’s findings are published in the March issue of Annals of Surgery.
|The rate of surgical site infections was significantly lower for laparoscopic cholecystectomy.|
|Annals of Surgery|
The researchers performed an epidemiologic analysis on data collected during a 7-year period.
They found that for the 54,504 inpatient cholecystectomy procedures reported, the 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. However, infecting organisms were similar for both approaches.
The team determined that even after controlling for other significant factors, the risk for SSI was lower in patients undergoing the laparoscopic technique.
Dr Chesley Richards’s team concluded, “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.”