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Related Experiment Video

Updated: Jul 14, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
04:03

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

Ambulatory laparoscopic cholecystectomy outcomes.

J M Sherigar1, G W Irwin, M A Rathore

  • 1Department of General Surgery, Causeway Hospital, Coleraine, UK. jsmala@yahoo.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|June 20, 2007
PubMed
Summary

Ambulatory laparoscopic cholecystectomy is safe and cost-effective, with low conversion rates. Improving training and discharge criteria can further reduce unplanned admissions for this outpatient procedure.

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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Area of Science:

  • General Surgery
  • Minimally Invasive Surgery
  • Health Economics

Background:

  • Ambulatory laparoscopic cholecystectomy is established in the US but less so in the UK.
  • Evidence on its effectiveness and cost-savings in the UK is limited.
  • Predictors of unplanned admissions and readmissions require elucidation.

Purpose of the Study:

  • To evaluate the impact of ambulatory laparoscopic cholecystectomy on postoperative morbidity.
  • To assess potential cost savings associated with the procedure.
  • To identify predictors of unplanned hospital admissions and readmissions.

Main Methods:

  • A two-phase study combining retrospective (112 patients) and prospective (86 patients) analyses.
  • Surgeries performed by experienced surgeons in a dedicated outpatient unit.

Related Experiment Videos

Last Updated: Jul 14, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
04:03

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

  • Patient follow-up extended to six weeks post-operation.

    • Main Results:

    • Zero hospital mortality observed.
    • 15% of patients required unplanned admissions, with causes including pain, nausea, and observation.
    • A 1.5% conversion rate to open cholecystectomy and a 3.5% readmission rate were recorded.

    Conclusions:

    • Ambulatory laparoscopic cholecystectomy is a safe, feasible, and cost-effective surgical option.
    • Enhancing training, discharge protocols, and anesthesia can minimize unplanned admissions.
    • Findings have significant implications for surgical training and healthcare resource allocation.