Video-Assisted Surgery Implementation in the Public Health System of a Developing Country
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- 作者：José Gustavo Olijnyk (1)
Leandro Totti Cavazzola (1)
José Eduardo de Aguilar-Nascimento (2)
Miguel Prestes Nácul (1)
Elias Couto e Almeida Filho (3) - 刊名：World Journal of Surgery
- 出版年：2014
- 出版时间：August 2014
- 年：2014
- 卷：38
- 期：8
- 页码：1912-1916
- 全文大小：279 KB
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Leandro Totti Cavazzola (1)
José Eduardo de Aguilar-Nascimento (2)
Miguel Prestes Nácul (1)
Elias Couto e Almeida Filho (3)
1. Surgery Department, Postgraduation in Surgical Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
2. Surgery Department, Universidade Federal do Mato Grosso, Cuiabá, MT, Brazil
3. Experimental Surgery Department, Centro de Ensino e Treinamento Experimental em Ciências da Saúde (Cetrex), Brasília, DF, Brazil - ISSN：1432-2323
文摘
Background Over the last two decades, video-assisted surgery has become the preferential access route for many procedures. Despite cholecystectomy being the laparoscopic procedure most frequently performed in Brazilian public hospitals from 2008 to 2012, the lack of population-based studies led us to conduct a survey on the prevalence of video-assisted surgery in the treatment of patients using the Sistema único de Saúde (SUS) (Unified Health System), which is the universal, free, and public healthcare system of Brazil. Methods By analyzing the DATASUS (national public health registry database), the prevalence of laparoscopic cholecystectomy and open cholecystectomy (OC) was calculated in the period from January to December in 2008, 2010 and 2012, taking into consideration their geographic distribution throughout Brazil. Results At the end of the study period, an increase in the number of laparoscopic cholecystectomies was observed, with a variation of 125.7?%. However, OC was more prevalent despite an increase in the use of video-assisted surgery over the 5-year study period, increasing from 12 to 25?% in 2012. Conclusions In spite of a trend toward increased use of video-assisted surgery for treating SUS patients during the period under study, the data from 2012 are still far from being ideal. For this population, OC via laparotomy is still the most prevalent option in all regions. This information must encourage the Brazilian surgical societies to push for an improvement in the supply of the treatment provided by the public health system.