'True Day Case' Laparoscopic Cholecystectomy in a High-Volume Specialist Unit and Review of Factors Contributing to Unexpected Overnight Stay

Minimally Invasive Surgery
A SolodkyyA M Harris

Abstract

Laparoscopic cholecystectomy (LC) is the gold standard treatment for gallstones. British Association of Day Case Surgery recommends at least 60% of LCs be performed as day cases. The aim of this study was to assess our rate of true day case LCs and review factors preventing same-day discharge. We prospectively collected data of all elective LCs performed in a district general hospital over 32 months. 500 patients underwent LC during this period; 438 (88.2%) patients were planned day cases and 59 patients (11.8%) planned overnight stays. Of the planned day cases, 75.8% (n=332) were discharged on the same day and 106 (24.2%) had unexpected overnight stay (UOS). Most patients with BMI >35 and ASA3 planned day case patients were successfully discharged. Drain insertion, longer operations, and late recovery departure were the main reasons for UOS. There were more complications in this group compared to day cases. This unit has a high 'true day case' rate of 75.8%. High BMI and ASA3 should not be absolute contraindications to day case surgery. The majority of unexpected overnight stays are unavoidable but may be reduced by patient selection, stringent preoperative assessment, operation scheduling, and reduction in unnecessary drain i...Continue Reading

References

Mar 16, 2000·The British Journal of Surgery·A HuangD L McWhinnie
Jun 26, 2001·Journal of Quality in Clinical Practice·J Young, B O'Connell
Aug 9, 2001·Irish Journal of Medical Science·J M KielyP V Delaney
Sep 5, 2002·World Journal of Surgery·Hung Lau, David C Brooks
Mar 3, 2004·The British Journal of Surgery·P C LeederT C B Dehn
Apr 22, 2006·ANZ Journal of Surgery·Matthew S MetcalfeGuy J Maddern
Sep 14, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Abdul KasemShamsi El-Hasani
Jul 31, 2007·International Journal of Surgery·M A RathoreM G Brown
Nov 9, 2007·World Journal of Surgery·J PsailaA G Patel
Apr 10, 2008·Surgical Endoscopy·N Z AhmadS A Naqvi
Dec 18, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Alfred Wei Chieh KowChoon Kiat Ho
Jan 27, 2009·International Journal of Surgery·S M TenconiE Cassinotti
Oct 5, 2010·International Journal of Surgery·Jacob A AkohThomas P Bourne
Nov 20, 2010·Journal of Evaluation in Clinical Practice·Lisa GrahamChristopher D Sutton
Nov 18, 2011·Minimally Invasive Surgery·M G ClarkeG Sanders
Jan 24, 2013·Surgical Endoscopy·Anders Meller DonatskyIsmail Gögenur
Oct 30, 2013·Annals of the Royal College of Surgeons of England·G I van BoxelS Appleton
Feb 6, 2014·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Mahibul IslamMd Abu Masud Ansari
Jun 20, 2014·Journal of Hepato-biliary-pancreatic Sciences·Walter BugiantellaFabio Rondelli
Dec 18, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Marcello PicchioErasmo Spaziani
Apr 9, 2015·Langenbeck's Archives of Surgery·Ferdinando AgrestaUNKNOWN Italian Surgical Societies Working Group

❮ Previous
Next ❯

Citations

Aug 7, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·L FischerD Schultze

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

SPSS

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.