Safety and effectiveness of outpatient laparoscopic cholecystectomy in a teaching hospital: a prospective study of 110 consecutive patients.

BMC Research Notes
Athanasios MarinisTheodosios Theodosopoulos

Abstract

The aim of this study was to evaluate the safety and efficacy of outpatient laparoscopic cholecystectomy (OLC) in a day surgery unit in a teaching hospital. OLC was offered to patients with symptomatic cholelithiasis who met the following established inclusion criteria: ASA (American Society of Anesthesiology) physical status classification class I and II; age: 18 - 70 years; body mass index (BMI) < 30 kg/m2; patient acceptance and cooperation (informed consent); presence of a responsible adult to accompany the patient to his residency; patient residency in Athens. The primary study end-point was to evaluate success rates (patient discharge on the day of surgery), postoperative outcome (complications, re-admissions, morbidity and mortality) and patient satisfaction. A secondary endpoint was to evaluate its safe performance under appropriate supervision by higher surgical trainees (HSTs). 110 consecutive patients, predominantly female (71%) and ASA I (89%) with a mean age 40.6 +/- 8.1 years underwent an OLC. Surgery was performed by a HST in 90 patients (81.8%). A mean postoperative pain score 3.3 (range 0-6) occurred in the majority of patients and no patient presented postoperative nausea or vomiting. Discharge on the day of s...Continue Reading

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Citations

Jun 30, 2012·BMC Medicine·Renée M van der LeeuwMaas Jan Heineman
Sep 7, 2014·Digestive Diseases and Sciences·Klaus BielefeldtDhiraj Yadav
Jun 16, 2016·Arquivos De Gastroenterologia·Uirá Fernandes TeixeiraFábio Luiz Waechter
Dec 17, 2020·Expert Review of Medical Devices·Ching Choe NgChew Yin Wang

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