ArticleSurgical endoscopy2013
Epidemiological study of provision of cholecystectomy in England from 2000 to 2009: retrospective analysis of Hospital Episode Statistics.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.
- Formal education of patients about to undergo laparoscopic cholecystectomy.The Cochrane database of systematic reviews · 2014Pooled it
- A randomised, single blinded trial, assessing the effect of a two week preoperative very low calorie diet on laparoscopic cholecystectomy in obese patients.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016Trial
- Factors associated with conversion from day-case to in-patient elective laparoscopic cholecystectomy surgery across England: an observational study using administrative data.Surgical endoscopy · 2026Observational
- Clinical characteristics and outcomes of patients undergoing laparoscopic cholecystectomy in a low-income country: Ethiopia.BMC surgery · 2026Article
- Robotic versus laparoscopic cholecystectomy for difficult gallbladders: an observational study of tertiary centre cases.Surgical endoscopy · 2025Observational
- Article
- Acute cholecystitis, obesity, and steatohepatitis constitute the lethal triad for bile duct injury (BDI) during laparoscopic cholecystectomy.Surgical endoscopy · 2024Article
- Three-arm robotic cholecystectomy: a novel, cost-effective method of delivering and learning robotic surgery in upper GI surgery.Journal of robotic surgery · 2024Article
- Article
- Relationship between surgical volume and outcomes in elective and acute cholecystectomy: nationwide, observational study.The British journal of surgery · 2023Observational
- Tailoring diagnosis and treatment in symptomatic gallstone disease.The British journal of surgery · 2022Review
- Early versus delayed reconstruction for bile duct injury a multicenter retrospective analysis of a hepatopancreaticobiliary group.Scientific reports · 2022Article
- Cholecystectomy: Advances and Issues.Journal of clinical medicine · 2022Article
- The Need for Standardizing Diagnosis, Treatment and Clinical Care of Cholecystitis and Biliary Colic in Gallbladder Disease.Medicina (Kaunas, Lithuania) · 2022Review
- Safety, quality and efficiency of intra-operative imaging for treatment decisions in patients with suspected choledocholithiasis without pre-operative magnetic resonance cholangiopancreatography.Surgical endoscopy · 2022Article
- Article
- EAES online educational resources: a survey of the membership of the European Association for Endoscopic Surgery (EAES).Surgical endoscopy · 2021Article
- Peri-operative Mortality Following Cholecystectomy in Australia: Potential Preventability of Adverse Events.World journal of surgery · 2021Article
- Improving attainment of the critical view of safety during laparoscopic cholecystectomy.Surgical endoscopy · 2020Article
- Laparoscopic cholecystectomy for giant gall stone: Report of two cases.International journal of surgery case reports · 2020Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe aim of this study was to report the trends in provision of cholecystectomy in the National Health System in England over the 9 year period from 2000 to 2009 and to determine the major risk factors associated with subsequent poor outcome.
methodsThe Hospital Episode Statistics database was interrogated to identify all cholecystectomy procedures for biliary stone disease in adult patients (>16 years). Multivariate regression analyses were used to identify independent predictors of in-patient death, 1 year death, conversion to open, major bile duct injury (BDI) requiring operative repair, and length of stay.
resultsA total of 418,214 cholecystectomy procedures for biliary stone disease were identified. Laparoscopic surgery was used in 348,311 (83.3%) cases and increased by 14.6% over the study period. The in-patient mortality rate (0.2%), 1 year mortality rate (1%), proportion of cases converted to open (5.0%), major BDI rate (0.4%), and mean length of stay (3 days) all decreased over the study period. 52,242 (12.5%) cases were carried out during an emergency admission and uptake has remained stable over the decade. Emergency surgery was more likely to be performed at high-volume centres (odds ratio [OR] 1.39, 95% confidence interval [CI] 1.35-1.44) and specialist units (OR 1.32, 95% CI 1.30-1.35). High-volume centres were more likely to complete emergency cases laparoscopically (OR 1.11, 95% CI 1.05-1.18). Multivariate regression analysis demonstrated that patient- (male gender, increasing age, and comorbidity) and disease-specific (inflammatory pathology and emergency admission) factors rather than hospital institutional characteristics (annual cholecystectomy volume and presence of specialist surgical units) were associated with poorer outcomes.
conclusionsThe provision of laparoscopic cholecystectomy in England has increased. This has been associated with improvements in outcomes such as mortality and length of stay. However, emergency cholecystectomy uptake remains sub-optimal and is more likely to be performed at high-volume or specialist hospitals without adverse outcomes. Further research into the routine provision of emergency cholecystectomy in England is needed in order to optimize patient outcomes.
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