Feasibility of day case laparoscopic cholecystectomy in unselected patients

Anaesthesia
J P TuckeyJ J Tate

Abstract

The feasibility of day case laparoscopic cholecystectomy was assessed in unselected patients using a standard anaesthetic protocol. Postoperative pain and nausea were assessed at 6 and 24 h postoperatively (visual analogue scale, range 0-10). Thirty-two patients were studied (23 female, 9 male, mean age 49.6 years). The mean duration of surgery was 68 min. At 6 h after surgery, 10 patients (31%) had no pain at rest. For the group as a whole, the median pain score was 3 at rest (range 0-6), 4 on movement (0-9), and 5 on coughing (0-9) and eight patients (25%) were nauseated. At 24 h, 15 (46.9%) had no pain at rest. For the group as a whole, the median pain score was 1 at rest (0-7), 3 (0-6) on movement and 3 on coughing (0-9). The same eight patients were nauseated. Ten patients (31.3%) were judged fit for discharge at 6 h, and 28 (87.5%) by 24 h. There was no statistical difference in mean age or duration of surgery in those judged fit for early discharge compared to the study group as a whole. Nausea was an important factor in those unfit for discharge at 24 h. Selection criteria might improve these figures. From the results of our study, 24 h admission is a more realistic goal and will be suitable for most patients requiring ...Continue Reading

References

Mar 1, 1991·American Journal of Surgery·A CuschieriH Troidl
Nov 1, 1990·American Journal of Surgery·E J Reddick, D O Olsen
Nov 1, 1990·Canadian Operating Room Nursing Journal·S Gabriel
Dec 1, 1974·British Journal of Anaesthesia·K Korttila, M Linnoila
Aug 1, 1970·British Journal of Anaesthesia·J D MorrisonJ W Dundee
Jul 1, 1968·Anesthesiology·W B NeffR Thompson
Nov 1, 1984·British Journal of Anaesthesia·F L Kurer, D B Welch
Aug 1, 1980·British Journal of Anaesthesia·S C Allen, G A Rees
May 1, 1995·British Journal of Anaesthesia·D V LunnP J McQuillian
Apr 1, 1993·Anaesthesia·D J Bihari, R W Chang

❮ Previous
Next ❯

Citations

Mar 14, 2001·Anesthesiology Clinics of North America·S B Jones, D B Jones
Sep 18, 1998·Journal of the American College of Surgeons·Y C KeulemansD J Gouma
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Gerardo Castillo-GarzaOscar Villegas-Cabello
Nov 28, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Antonio BresciaFrancesco Saverio Mari
May 2, 2016·Cirugia y cirujanos·Jiovanni Toca-VillegasJuan Francisco Hernández-Sierra
Apr 6, 2017·Surgical Endoscopy·Nicola de'AngelisAlexis Laurent
Sep 14, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Abdul KasemShamsi El-Hasani
Mar 3, 2004·The British Journal of Surgery·P C LeederT C B Dehn

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Eldo E FrezzaMitchell S Wachtel
British Journal of Neurosurgery
A KellyA Jamjoom
© 2022 Meta ULC. All rights reserved