Same day discharge after laparoscopic cholecystectomy in children

The Journal of Surgical Research
Brian G A DaltonPablo Aguayo

Abstract

Although the safety of same day discharge (SDD) after laparoscopic cholecystectomy (LC) for symptomatic cholelithiasis (SC) and biliary dyskinesia (BD) in adults has been well documented in the literature, the same data in the pediatric population are lacking. We have recently instituted a protocol for SDD after LC for SC and BD, and this study is an analysis of our initial experience. A retrospective chart review of all patients who underwent LC for BD and SC in our institution from January 2011-July 2014 was performed. A total of 227 LC were performed for SC and BD during the study period. Approximately 25% (n = 57) of patients were in the SDD group. The remaining 75% (n = 170) of patients were admitted at least overnight stay (ONS) for the following reasons: medical 16.5% (n = 28), surgery ending too late 4.1% (n = 7), or clinical care habits 79.4% (n = 135). Comparing the SDD group with ONS group, no differences were found in the complication rate, readmissions, or follow up before scheduled appointment. Length of stay was significantly less for the SDD group than for the ONS. A trend for more SDDs was observed as time elapsed from initiation of the protocol. Also, earlier completion of surgery trended toward SDD. SDD appea...Continue Reading

References

Aug 21, 2007·Journal of Pediatric Surgery·Keimari MéndezHumberto Lugo-Vicente
Feb 13, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shawn D St PeterGeorge W Holcomb
Feb 2, 2010·Journal of Pediatric Gastroenterology and Nutrition·Conor O BogueAlan Daneman
Sep 21, 2013·Journal of the American College of Surgeons·Ajit RaoScott Q Nguyen
Apr 15, 2014·The Journal of Surgical Research·Pablo AguayoShawn D St Peter
Apr 18, 2014·Journal of Indian Association of Pediatric Surgeons·Prakash Agarwal, Raj Kishore Bagdi

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Citations

Apr 3, 2016·Pediatric Surgery International·Maria G Sacco CasamassimaFizan Abdullah
Sep 27, 2016·Journal of Pediatric Surgery·Joanna L GouldPablo Aguayo
Feb 13, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Heather Nolan, Joshua Glenn
Nov 12, 2019·Journal of Pediatric Surgery·Andrew YehMarcus Malek
Aug 13, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Charlene Dekonenko, George W Holcomb

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