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Related Experiment Videos

Is outpatient surgery safe for the higher risk patient?

A J Voitk1, S Ignatius, B D Schouten

  • 1Department of Surgery, The Salvation Army Scarborough Grace Hospital, Toronto, Ontario, Canada. minaise@pathcom.com

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|December 3, 1998
PubMed
Summary
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Elective outpatient laparoscopic surgery is safe for higher-risk patients. Most patients were successfully treated as outpatients, with admissions only for readily apparent issues, showing no later decompensation.

Area of Science:

  • Surgical Innovation
  • Patient Outcomes
  • Ambulatory Surgery

Background:

  • Increasing trend towards outpatient surgery.
  • Need to assess safety for higher-risk patients undergoing elective outpatient laparoscopic procedures.

Purpose of the Study:

  • To determine the safety and feasibility of elective outpatient laparoscopic surgery for higher-risk patient populations.
  • To evaluate admission and readmission rates in this demographic.

Main Methods:

  • Prospective study of 100 consecutive higher-risk patients undergoing elective outpatient laparoscopic surgery.
  • Conducted in a 256-bed community hospital setting.

Main Results:

  • 17% of patients required admission, with the need identified during perioperative observation.

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  • 83% of patients were successfully treated as outpatients.
  • No patient who remained stable decompensated later; readmission rate (2%) was comparable to low-risk patients.

    • Conclusions:

    • Routine outpatient laparoscopic surgery is safe for elective higher-risk patients.
    • Potential complications requiring admission are identifiable during the observation period.
    • Outpatient status does not lead to later decompensation in stable patients.