Related Experiment Videos
Minicholecystectomy: a safe, cost-effective day surgery procedure
Objective:
To document effectiveness of minicholecystectomy as a safe, cost-effective day surgery procedure with rapid return to work.
Design:
Review of medical records.
Setting:
Small community hospital.
Patients:
A total of 1207 patients who underwent minicholecystectomies from January 1, 1986, through December 31, 1997.
Intervention:
Minicholecystectomy.
Main Outcome Measures:
Complications, length of hospital stay, cost, and time until return to work.
Results:
Of the 1207 patients who underwent minicholecystectomy, 74% were admitted for day surgery, 88% of whom were discharged in less than 12 hours, 9.3% in 24 hours or less, and 1.7% in greater than 24 hours; 0.3% were readmitted within 2 weeks. The complication rate was 0.2%; 2 cases required laparotomy, with no common duct injuries. The cost of the procedure was S435; the average time it took working patients to return to work was 11.4 days.
Conclusions:
Minicholecystectomy is a safe, inexpensive day surgery method of cholecystectomy with minimal time off work after surgery.