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Randomised Controlled Trial of Day-Case Laparoscopic Cholecystectomy vs Routine Laparoscopic Cholecystectomy
Sanjay Kumar1, Shadan Ali1, Shabi Ahmad2
1Department of Surgery, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi, India.
The Indian Journal of Surgery
|January 6, 2016
Summary
Day-case laparoscopic cholecystectomy is safe and feasible in developing countries. This study found similar complication rates and patient satisfaction compared to conventional procedures, supporting its wider adoption.
Area of Science:
- Surgical Innovation
- Gastrointestinal Surgery
- Public Health
Background:
- Day-case laparoscopic cholecystectomy is increasingly favored globally.
- Its applicability in developing countries requires further investigation due to resource and infrastructure differences.
Purpose of the Study:
- To evaluate the feasibility and safety of day-case laparoscopic cholecystectomy in a developing country setting.
- To compare outcomes with the conventional (routine) laparoscopic cholecystectomy procedure.
Main Methods:
- A randomized controlled trial involving 65 patients with symptomatic gallstones.
- Patients were assigned to either day-case or routine laparoscopic cholecystectomy.
- Outcomes assessed included complications, quality of life, patient satisfaction, post-operative nausea/vomiting, and pain.
Main Results:
- 97% of day-case patients were discharged successfully within a mean of 8.9 hours.
- Routine laparoscopic cholecystectomy patients had a mean stay of 3.33 days.
- No significant differences were observed in complications, quality of life, satisfaction, nausea/vomiting, or pain between the groups.
Conclusions:
- Day-case laparoscopic cholecystectomy is a safe, feasible, and beneficial option in this developing country setting.
- Patient acceptance, quality of life, and satisfaction are comparable to routine procedures.
- The findings support the wider implementation of day-case laparoscopic cholecystectomy in similar healthcare environments.
