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Updated: Jun 22, 2026
High-throughput Fluorometric Measurement of Potential Soil Extracellular Enzyme Activities
Published on: November 15, 2013
Athar Ali1, Tabish Chawla, Abid Jamal
1Department of Surgery, Aga Khan University, Stadium Road, Karachi, Pakistan.
Background:
Laparoscopic cholecystectomy (LC) is the most commonly performed minimal invasive surgery. However, practice of its use as an ambulatory surgery in our hospital settings is uncommon.
Objective:
To evaluate safety and cost effectiveness of LC as an ambulatory day care surgery.
Study Design:
Quasiexperimental.
Setting:
Department of surgery, Aga Khan University Hospital, Karachi, Pakistan.
Materials And Methods:
Patients with uncomplicated symptomatic gallstones were selected for Ambulatory LC. They were admitted electively on the same day and operated on in the morning hours and discharged after a check by the surgeon 6-8 hrs later.
Results:
Of fifty (n = 50) patients selected for ambulatory LC, 92% were discharged successfully after 6-8 hrs observation. No significant perioperative complications were noted. Unplanned admission and readmission rate was 8 and 2%, respectively. Cost saving for the daycare surgery was Rs. 6,200, Rs. 13,300, and Rs.22,800 per patient as compared to in patient general, semiprivate, and private ward package, respectively.
Conclusion:
Practice ambulatory LC is safe and cost-effective in selected patients with uncomplicated symptomatic gallstones.
