%0 Journal Article
%T Surgical treatment of gallstones
%A Van Haverbeke L
%A Deraedt S
%A Vincenti-Rousseau
%A Sagnat J
%J Revue M¨¦dicale de l'Assurance Maladie
%D 2005
%I 
%X Aim: To study the surgical treatment of gallstones, in order to compare professional practices with the recommendations of the Agence nationale d'accr¨¦ditation et d'¨¦valuation en sant¨¦ (ANAES - French national agency for health-care accreditation and evaluation). Method: Retrospective descriptive survey, using a representative sample of cholecystectomies performed in patients aged 16 years and over during the first half of 2003 in healthcare establishments in the Ile-de-France region. Results: The study concerned 1772 cholecystectomies, performed by laparoscopy in 92.2 % of cases. Complications developed during surgery in 3.4 % of cases and post-operatively in 5.9 % of cases. We observed deviations relative to the recommendations: surgery on asymptomatic lithiasis in 7.8 % of cases, intravenous cholangiography in 0.5 % of cases. Conclusion: Surgical teams must ensure that they comply with the indications for cholecystectomy, particularly since these procedures involve risks and can lead to medically unjustified expenditure.
%K cholecystectomy
%K clinical practice recommendation
%K evaluation
%K surgical indication.
%U http://www.ameli.fr/fileadmin/user_upload/documents/Lithiase_vesiculaire.pdf