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[Not Available].
Athar Ali1, Tabish Chawla, Abid Jamal
1Department of Surgery, Aga Khan University, Stadium Road, Karachi, Pakistan.
Journal of Minimal Access Surgery
|June 24, 2009
Summary
Ambulatory laparoscopic cholecystectomy (LC) is safe and cost-effective for select patients with symptomatic gallstones. This approach allows for same-day discharge, reducing healthcare costs and improving patient flow.
Area of Science:
- General Surgery
- Minimally Invasive Procedures
Background:
- Laparoscopic cholecystectomy (LC) is a common minimally invasive surgery.
- Its use as ambulatory surgery is not widespread in many hospital settings.
Purpose of the Study:
- To assess the safety and cost-effectiveness of LC performed as ambulatory day care surgery.
- To evaluate the feasibility of same-day discharge after LC.
Main Methods:
- A quasiexperimental study was conducted at Aga Khan University Hospital, Karachi, Pakistan.
- Fifty patients with uncomplicated symptomatic gallstones underwent elective ambulatory LC.
- Patients were admitted, operated on in the morning, and discharged 6-8 hours post-surgery after surgeon evaluation.
Main Results:
- 92% of patients were successfully discharged within 6-8 hours post-operation.
- No significant perioperative complications were observed.
- Ambulatory LC resulted in significant cost savings compared to inpatient procedures, ranging from Rs. 6,200 to Rs. 22,800 per patient.
Conclusions:
- Ambulatory laparoscopic cholecystectomy is a safe and effective procedure for selected patients.
- This approach offers significant cost benefits and is a viable option for uncomplicated symptomatic gallstones.
