Related Experiment Videos
Day case laparoscopic cholecystectomy is safe and feasible: a case controlled study
M A Rathore1, S I H Andrabi, M Mansha
1Department of Surgery, Causeway Hospital, Newbridge Road, Coleraine BT52 1HS, Northern Ireland, UK. munirrathore@doctors.org.uk <munirrathore@doctors.org.uk>
International Journal of Surgery (London, England)
|July 31, 2007
Summary
Day case laparoscopic cholecystectomy (DC-LC) is safe for symptomatic gallstones. Patients over 55 had a higher admission rate, primarily due to precautionary observation.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Day case laparoscopic cholecystectomy (DC-LC) is increasingly adopted in select surgical centers.
- Evaluating the admission rate is crucial for assessing the feasibility and safety of DC-LC.
Purpose of the Study:
- To determine the admission rate following day case laparoscopic cholecystectomy (DC-LC).
- To identify factors influencing admission after DC-LC.
Main Methods:
- A prospective analysis of 164 patients undergoing DC-LC for symptomatic cholelithiasis.
- Patients received standard surgical care, prophylaxis, and were discharged same-day, with 6-week follow-up.
Main Results:
- The direct admission rate was 14% (26/164), with common reasons including observation, wound pain, and nausea.
- A significantly higher admission rate was observed in patients over 55 years old (p=0.00054).
- Re-admission rates were low (3.6%), with rare serious complications like pseudo-aneurysm and CBD injury.
Conclusions:
- Day case laparoscopic cholecystectomy (DC-LC) is a safe and feasible outpatient procedure for non-acute symptomatic cholelithiasis.
- The over-55 age group requires careful consideration due to a higher likelihood of admission, often for precautionary reasons.