Outpatient laparoscopic cholecystectomy: A new gold standard for cholecystectomy?
| Autor: | J. Bueno Lledó, A. Espí Salinas, M. Oviedo Bravo, R García Espinosa, M. Planells Roig, C. Arnau Bertomeu, R. Martí Obiol, A. Sanahuja Santafé |
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| Jazyk: | angličtina |
| Předmět: |
Adult
Male medicine.medical_specialty cirugía ambulatoria colelitiasis medicine.medical_treatment Outpatient surgery Postoperative management Laparoscopic cholecystectomy Cholelithiasis Laparotomy Ambulatory Care medicine Humans lcsh:RC799-869 business.industry General surgery Gold standard Gastroenterology General Medicine Middle Aged Surgery Treatment Outcome Cholecystectomy Laparoscopic Ambulatory colecistectomía laparoscópica Female Cholecystectomy lcsh:Diseases of the digestive system. Gastroenterology Fast track business Hospital stay |
| Zdroj: | Revista Espanola de Enfermedades Digestivas, Vol 98, Iss 1, Pp 14-24 Europe PubMed Central Revista Española de Enfermedades Digestivas v.98 n.1 2006 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname |
| ISSN: | 1130-0108 |
| Popis: | Objective: to contribute our experience for five years in the implemetation of outpatient laparoscopic cholecystectomy (LC). Patients: between January 1999 and March 2004 we performed 504 outpatient LCs. We applied both exclusion and inclusion criteria, an anesthetic and surgical protocol, and discharge-specific criteria. Postoperative management in "fast track" regime. Postoperative period controlled by protocol, including phone calls after cholecystectomy. Results: the ambulatory percentage in the global series was 88.8%, and mean hospital stay was 6.1 hours. Fifty-one patients required overnight stays (10.1%), most of them for "social" causes. Five patients required admission (between 24 and 48 hours) for different causes (conversion to laparotomy, intraoperative neumothorax, and postoperative medical complications). Six patients (1.1%) were readmitted, and we observed 11.6% postoperative complications in the global series, with abdominal parietal pain being most frequent. Phone localization by 22.00 p.m. in the same day of surgery was 100% complete for outpatient cases. Postoperative surveillance within the first month after surgery was completed in 93.9%, and within th first year in 86.7% of patients. Conclusions: outpatient LC is safe and feasible, and probably represents a new "gold standard" in the treatment of symptomatic cholelithiasis. |
| Databáze: | OpenAIRE |
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