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[Establishment of routines for elective laparoscopic surgery]
E Trondsen1, A Stordahl, L G Fröberg
1Kirurgisk avdeling, Sykehuset Østfold Askim, 1800 Askim. erik.trondsen@ulleval.no
Background:
During the autumn of 1999, elective laparoscopic cholecystectomy was introduced as a new surgical procedure in the Central Hospital Østfold, Askim. A prospective evaluation of perioperative patient logistics and patient satisfaction was performed.
Material And Methods:
214 patients were evaluated in the ambulatory; 116 of them were scheduled for operation. The operations were performed in general anaesthesia with continuous infusion of propofol and short acting opioides. Analgetics and anti-emetics were given pre- and perioperatively as prophylaxis against postoperative pain and nausea.
Results:
There were three unexpected cancellations. Two patients had serious postoperative bleedings and two had symptoms indicating residual bile duct stones. Twenty-eight patients (24%) were discharged on the same day. 114 patients (98%) were satisfied with their stay in hospital.
Interpretation:
The established patient logistics proved efficient and rational.