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Published on: March 28, 2025
Day surgery versus overnight stay laparoscopic cholecystectomy: A systematic review and meta-analysis
Huairong Tang1, Aihua Dong2, Lunan Yan2
1Health Management Center, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.
Background:
Laparoscopic cholecystectomies are being increasingly performed as a day surgery procedure.
Aim:
To systematically assess the safety and efficacy of laparoscopic cholecystectomy as a day surgery procedure compared to overnight stay.
Methods:
Randomized controlled trials and clinical controlled trials involving day surgery laparoscopic cholecystectomy were included in a systematic literature search. Two authors independently assessed the studies for inclusion and extracted the data. A meta-analysis was conducted to estimate the safety and feasibility of day surgery compared to overnight stay laparoscopic cholecystectomy.
Results:
Twelve studies were selected for our meta-analysis. The meta-analysis showed that there was no significant difference between the two groups on morbidity (P=0.65). The mean in-hospital admission and readmission rates were 13.1% and 2.4% in the day surgery group, respectively. The two groups had similar prolonged hospitalization (P=0.27), readmission rate (P=0.58) and consultation rate (P=0.73). In addition, there was no significant difference in the visual analogue scale score, postoperative nausea and vomiting scale, time to return to activity and work between the two groups (P>0.05).
Conclusions:
Currently available evidence demonstrates that laparoscopic cholecystectomy can be performed safely in selected patients as a day surgery procedure, though further studies are needed.
