Recent trends in cholecystectomy in US veterans
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and Other Interventional Techniques
Recent trends in cholecystectomy in US veterans Joshua Kong1,2 · Awni Shahait1,2 · Kara Girten2 · Mohanad Baldawi2 · Mustafa Rashad Hasnain2 · Khaled J. Saleh2 · Scott A. Gruber1,2 · Donald Weaver1 · Gamal Mostafa1,2 Received: 9 April 2020 / Accepted: 29 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Introduction We hypothesize that the recent trend in performing cholecystectomy in US Veterans shows wide adoption of the laparoscopic technique and improvement in the outcome following both laparoscopic (LC) and open cholecystectomy (OC). This study utilizes the Veterans Affairs Surgical Quality Improvement Program database to examine the status and outcome of cholecystectomy. Methods A retrospective review of veterans who underwent cholecystectomy between 2008 and 2015 was performed. Data analysis included patient demographics, operations, and postoperative outcomes. Cochran-Armitage trend analysis was used to assess significant changes in outcome over the study period. p ≤ 0.05 was considered significant. Results A total of 40,722 patients (average age of 61 years) were included in the study (males 85.6%). LC was performed in the majority of patients (86.4%). Patients in the OC group (13.6%) were more likely to have advanced age (≥ 65 years) (47.6% vs 32.0%, p
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