Quality and patient satisfaction after ambulatory laparoscopic management of non-severe and uncomplicated gallbladder pathology
Related Experiment Video
Updated: Jan 5, 2026
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Daniel Holguín-Ruacho1, Carlos R Cervantes-Sánchez2
1Servicio de Cirugía General, Hospital General Dr. Salvador Zubirán Anchondo, Chihuahua, Chihuahua, México.
Introduction:
Ambulatory laparoscopic cholecystectomy (ALC) reduces the use of hospital beds and benefits the patient by returning home sooner. Therefore, it is important to evaluate the degree of patient satisfaction.
Materials And Methods:
A controlled clinical trial was designed to assess the efficacy, safety, and satisfaction of ALC, compared to the usual laparoscopic cholecystectomy (ULC). Efficacy and safety were evaluated based on; recovery of the oral route, spontaneous urination, gas channeling, presence of pain, nausea, vomiting, bleeding, pain, penrose expense. Satisfaction was explored through an adaptation of the SATISCORE questionnaire.
Results:
We included 71 patients, 38 from the experimental group (ALC) and 33 from the control group (ULC). There was a higher proportion of women, average age at the fifth decade, and a similar distribution of comorbidities. In safety and efficacy, the results were similar. In the survey, the ALC group showed an 89.5% high degree of satisfaction.
Discussion:
There was a good postoperative recovery in both groups as they reincorporated earlier, identified in a better satisfaction index referred by the patient.
Conclusion:
The ALC is as effective and safe as ULC, so it can be considered as the new "gold standard" for the surgical management of uncomplicated biliary pathology.
