A Comparison of Effectiveness of Two Surgical Units in Performing
Abstract
This study compared the effectiveness of two surgical units in a tertiary care teaching hospital in
performing laparoscopic cholecystectomy procedures from a hospital administration perspective.
One surgical unit that was first to undertake laparoscopic procedures in the hospital had more
experience than the other. The effectiveness was measured in terms of Average Postoperative
Hospital Stay that directly affects Bed Turnover Rate and Average Duration of Surgery that
directly affects OT Utilization. Rate of conversion to open cholecystectomy was also calculated
for each unit separately. The same was compared with the globally acceptable standard. The
study design was retrospective, collecting data from the medical records department. The sample
size was calculated at level of significance of 5% and power of 90%. There is significance
difference in the two surgical units only in terms of the duration of surgery. Conversion rates to
open cases are well within the global standard and there is no significant difference between the
two units in terms of post operative stay. Continuous medical education in terms of
national/international workshops and in-house training for surgeons of Unit B are enough to
further sharpen their skills in laparoscopy.
performing laparoscopic cholecystectomy procedures from a hospital administration perspective.
One surgical unit that was first to undertake laparoscopic procedures in the hospital had more
experience than the other. The effectiveness was measured in terms of Average Postoperative
Hospital Stay that directly affects Bed Turnover Rate and Average Duration of Surgery that
directly affects OT Utilization. Rate of conversion to open cholecystectomy was also calculated
for each unit separately. The same was compared with the globally acceptable standard. The
study design was retrospective, collecting data from the medical records department. The sample
size was calculated at level of significance of 5% and power of 90%. There is significance
difference in the two surgical units only in terms of the duration of surgery. Conversion rates to
open cases are well within the global standard and there is no significant difference between the
two units in terms of post operative stay. Continuous medical education in terms of
national/international workshops and in-house training for surgeons of Unit B are enough to
further sharpen their skills in laparoscopy.