Laparoscopic cholecystectomy in a freestanding outpatient surgery center
| Autor: | Bart P. Green, George J. Farha, R. Larry Beamer |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Nausea medicine.medical_treatment Biliary Tract Diseases Cost-Benefit Analysis Outpatient surgery Biliary dyskinesia Biliary colic Ambulatory Care Facilities medicine Humans Aged business.industry General surgery Patient Selection Ambulatory Surgical Procedure Middle Aged medicine.disease Surgery medicine.anatomical_structure Ambulatory Surgical Procedures Cholecystectomy Laparoscopic Cholecystitis Cystic duct Cholecystectomy Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Journal of laparoendoscopic surgery. 4(5) |
| ISSN: | 1052-3901 |
| Popis: | Laparoscopic cholecystectomy in a freestanding outpatient surgery center was evaluated. Fifty-five patients undergoing laparoscopic cholecystectomy during a 10-month period from December 1992 to October 1993 were included in this study. There were 10 males and 45 females, with a mean age of 42 years. All patients had a history consistent with biliary colic. Forty-nine patients had documentation of cholelithiasis by ultrasonography, 3 had documentation of cholelithiasis by other diagnostic procedures, and 3 had a diagnosis of biliary dyskinesia. The mean surgery time was 75 min, with a range of 43-145 min. Fifty-four intraoperative cholangiography attempts were made, and 81% were successful. In 19%, intraoperative cholangiography was unsuccessful secondary to a small cystic duct. Fifty of the patients (90%) in this study were discharged from the surgery center without significant sequelae. Four patients were admitted to the hospital postoperatively, 1 for bradycardia, 1 for nausea, 1 for i.v. antibiotics secondary to purulent cholecystitis, and 1 for inability to maintain an adequate oxygen saturation. Another patient was admitted 1 week postoperatively for right upper quadrant pain. After a negative hepatobiliary scan, this patient was discharged without sequelae. The average facility charge of laparoscopic cholecystectomy in this series was $2300, compared with the average charge of $6500 in our community hospital. We conclude that laparoscopic cholecystectomy can be performed safely and cost effectively in a freestanding outpatient surgery center with proper patient selection. |
| Databáze: | OpenAIRE |
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