Laparoscopic cholecystectomy—comparison of early postoperative results in an Australian rural centre and a German university hospital

Background Laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. Cultural as well as organisational differences can result in significant variations of postoperative length of stay. Aim of the present study The aim of this study is to evaluate whether differences in postoperative length of stay and early postoperative outcome can be observed by comparison of an Australian rural centre and a German university hospital. Results Between February 2006 and August 2007 (18 months), 359 patients (140 Australia, 219 Germany) underwent laparoscopic cholecystectomy. Mean patient age was 50.4 ± 1.5 and 53.5 ± 1.0 years, respectively. Seventy-seven percent of the Australian and 62% of the German patients were female. Twenty-one percent and 20% of the procedures were emergencies, respectively. Median American Society of Anaesthesiologists score of all patients was two. The conversion rate was 8% in both centres. A 4% complication rate was observed in Australia ( N = 5, 3× bile leak, 1× postoperative bleeding and 1× wound infection) as opposed to 3% in Germany ( N = 7, 2× bile leak, 2× postoperative bleeding and 3× wound infection). Postoperative length of stay in Australia was 1.8 ± 0.1 days (median 1 day) and was significantly longer in patients after emergency surgery (1.6 ± 0.1 versus 2.6 ± 0.3 days, p 0.05). Comparison of treatment results indicates a significantly shorter postoperative stay in Australia (3 days versus 1 day, p