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[Experiences with outpatient laparoscopic cholecystectomy]
Y C Keulemans1, J H Eshuis, A Leeuwenberg
1Afd. Chirurgie, Academisch Medisch Centrum, Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|April 5, 1997
Summary
Same-day laparoscopic cholecystectomy is feasible for patients with symptomatic gallstones. This day care approach demonstrated low pain and no complications, with most patients preferring it over hospital admission.
Area of Science:
- Minimally Invasive Surgery
- Gastroenterology
- Ambulatory Surgery
Background:
- Symptomatic gallstones are a common condition requiring surgical intervention.
- Laparoscopic cholecystectomy is the standard surgical treatment.
- The potential for day care management of this procedure is under investigation.
Purpose of the Study:
- To assess the feasibility and patient desirability of performing laparoscopic cholecystectomy in a day care setting.
- To evaluate patient outcomes, including pain, medication use, and complications, following same-day discharge.
Main Methods:
- A prospective pilot study was conducted at an Academic Medical Centre.
- Fifteen patients with symptomatic gallstones (ASA I/II) were enrolled.
- Data collected included pain scores, medication use, readmissions, consultations, complications, and patient satisfaction.
Main Results:
- Fourteen out of fifteen patients were discharged on the same day, an average of 6.2 hours post-procedure.
- Low pain scores and minimal pain medication requirements were observed.
- No readmissions or post-discharge consultations occurred, and no complications were reported in the discharged group.
Conclusions:
- Laparoscopic cholecystectomy in a day care setting is feasible for patients with symptomatic gallstones and no functional limitations, provided adequate day care facilities are available.
- The majority of patients expressed a preference for the day care model over traditional hospital admission.