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Published on: February 10, 2023
Outpatient laparoscopic cholecystectomy. A prospective study with 100 consecutive patients
S Bringman1, B Anderberg, T Heikkinen
1Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Minimally Invasive Surgery Stockholm (MISS), K53, SE-141 86, Stockholm, Sweden
Ambulatory Surgery
|July 17, 2001
Summary
Laparoscopic cholecystectomy for gallstones can be safely performed in an outpatient setting. This same-day surgery approach offers a quick recovery, with most patients returning to work within 7 days.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Ambulatory Surgery
Background:
- Cholelithiasis (gallstones) is a common condition requiring surgical intervention.
- Laparoscopic cholecystectomy has become the standard treatment for symptomatic gallstones.
- Evaluating day surgical settings for cholecystectomy is crucial for optimizing patient care and healthcare resource utilization.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic cholecystectomy in a day surgical setting.
- To assess patient outcomes, including operating time, recovery period, and unplanned admissions.
Main Methods:
- Prospective consecutive follow-up study.
- Inclusion of 100 patients with cholelithiasis.
- Evaluation of laparoscopic cholecystectomy performed in an ambulatory surgery setting.
Main Results:
- Median operating time was 70 minutes.
- Peroperative cholangiography was successful in 96% of patients.
- Median time off work was 7 days; median full recovery was 14 days.
- 89 out of 100 patients were treated as outpatients, with a low unplanned admission rate (11%).
Conclusions:
- Laparoscopic outpatient cholecystectomy is a safe and effective procedure.
- The study demonstrates a low rate of unplanned admissions, supporting its use in ambulatory settings.
