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Ambulatory laparoscopic cholecystectomy: A single center experience
Cagri Tiryaki1, Zülfü Bayhan2, Ertugrul Kargi3
1Department of General Surgery, Kocaeli Derince Training And Research Hospital, Kocaeli, Turkey.
Journal of Minimal Access Surgery
|February 27, 2016
Summary
Ambulatory laparoscopic cholecystectomy (ALC) is safe and cost-effective. Obesity and shorter gallbladder disease duration increase pain, while preoperative anxiety impacts procedure completion, highlighting the need for careful patient management.
Area of Science:
- Surgical Innovation
- Patient Outcomes Research
Background:
- Ambulatory laparoscopic cholecystectomy (ALC) offers a cost-effective and safe alternative to traditional inpatient procedures.
- Evaluating patient outcomes like pain, nausea, anxiety, and satisfaction is crucial for optimizing ALC protocols.
Purpose of the Study:
- To identify demographic and clinical factors influencing outcomes of ALC.
- To assess pain, nausea, anxiety, and patient satisfaction following ALC in a tertiary care setting.
Main Methods:
- ALC was performed on 60 eligible patients.
- Postoperative outcomes were assessed via telephone and clinical examination.
- State-Trait Anxiety Inventory (STAI) was used to measure anxiety levels.
Main Results:
- 92% of patients were discharged same-day; five required extended care due to anxiety, pain, or social factors.
- Nausea occurred in 6.7% of patients; pain in 46.7%.
- Obesity and shorter gallbladder disease duration correlated with increased pain (P=0.009, P=0.004). Higher preoperative anxiety was linked to incomplete ALC (P=0.018).
Conclusions:
- Effective management of adverse effects like pain and anxiety enhances patient satisfaction with ALC.
- Optimizing ALC protocols can promote this safe and cost-effective surgical approach.
