Revista chilena de cirugía
versión On-line ISSN 0718-4026
CSENDES J, ATTILA y GONZALEZ D, GLORIA. Rates of digestive surgery in Chile during 2004 and 2005. Analysis of hospital discharge data, excluding colorectal interventions. Rev Chil Cir [online]. 2008, vol.60, n.5, pp. 379-386. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262008000500003.
Background: Twenty five years ago, biliary surgery accounted for 30 to 50% of all operations performed ¡n a general surgical service. We have no information ofthechangesin thefrequency in surgical interventions ¡n the last years. Aim: To determine, using hospital discharge data, which are the most common surgical interventions in Chile. Material and Methods: Databases with hospital discharge data from all the hospitals in Chile during 2004 and 2005, available at the Ministry of Health website, were consulted. Colorectal operations were exduded from the analysis. Results: In public hospitals during 2005, 710 gastrectomies for gastric cáncer, 63 esophagectomies for esophageal cáncer, 90 pancreatoduodenectomies for pancreatic cáncer and 40 lobectomies for liver cáncer, were performed. Appendectomy was the most common operation performed in the private health system, followed by cholecystectomy and hernia repair. The rate of laparoscopic cholecysctectomy varied from 15 to 87% in different regions of Chile. Ninety percent of hospital discharges for gastric cáncer occur in the public health system, whereas an important increase in discharges for pancreatic and liver cáncer, is observed in the private sector. The global operability rate for these tumors varied between 15 and 35%. Conclusions: Due to the low number of operations registered for certain digestive tumors, these interventions should be concentrated in high volume centers to increase the efficiency of the system. An effort is required to implement laparoscopic cholecystectomy in some regions of the country.
Palabras llave : Discharge records; digestive surgery; cholecystectomy.