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[Day surgery for cholecyst lithiasis]
Y Shimamura1, O Yoshitake, T Kagaya
1Department of Surgery, Chibanishi General Hospital, Matsudo, Japan.
Nihon Geka Gakkai Zasshi
|December 7, 2000
Summary
Laparoscopic cholecystectomy as one-day surgery (LC/DS) is effective and safe for most gallstone patients, enabling quicker recovery and return to work. Most patients can expect discharge within 24 hours, though individual preferences should guide the final decision.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Ambulatory Surgery
Context:
- Laparoscopic cholecystectomy (LC) has been performed as one-day surgery (LC/DS) since 1997.
- A total of 122 patients were enrolled in the LC/DS program.
- This approach aims to optimize patient recovery and resource utilization.
Purpose:
- To evaluate the efficacy and safety of laparoscopic cholecystectomy performed as one-day surgery.
- To assess the rate of successful discharge within 24 hours.
- To determine the impact of LC/DS on patient convalescence and return to work.
Summary:
- Out of 122 patients, 97 (80%) were successfully discharged within 24 hours.
- An additional 12 patients (48% of delayed discharges) were discharged on postoperative days 2 or 3.
- The study confirmed the safety of LC/DS, with one exception requiring laparotomy for bleeding.
Impact:
- LC/DS demonstrates efficacy in shortening recovery time and facilitating early return to work.
- It is recommended as a primary treatment for cholelithiasis, irrespective of symptom severity.
- Patient preference is a key consideration in determining discharge timing.