Surgical Endoscopy

, Volume 10, Issue 1, pp 52–56

149 ambulatory laparoscopic cholecystectomies

  • M. A. Fiorillo
  • P. G. Davidson
  • M. Fiorillo
  • J. A. D’Anna
  • N. Sithian
  • R. J. Silich
Article

DOI: 10.1007/s004649910013

Cite this article as:
Fiorillo, M.A., Davidson, P.G., Fiorillo, M. et al. Surg Endosc (1996) 10: 52. doi:10.1007/s004649910013

Abstract

Background

The purpose of this study was to compare ambulatory laparoscopic cholecystectomy (LC) with overnight LC and to determine its safety and the factors which will predict its success.

Methods

Ambulatory LC was defined as LC followed by less than a 12-h stay in the ambulatory surgery unit; overnight LC was defined as LC followed by a hospital admission of less than 24 h. A retrospective chart review was completed.

Results

One hundred forty-nine ambulatory LC, were performed in an 18-month period. Ninety-one were successful (61%); 58 patients required overnight admission for pain management, control of nausea, or their reluctance to be discharged. There were five complications and no mortalities. The duration of the surgical procedure was the only significant objective factor we could find in predicting success of ambulatory LC.

Conclusions

We conclude that ambulatory LC is safe and effective in treating patients requiring cholecystectomy. The duration of the procedure and the patient’s own motivation are key factors in predicting success of early discharge.

Key words

Laparoscopic cholecystectomyAmbulatorysurgeryComplications

Copyright information

© Springer-Verlag New York Inc 1996

Authors and Affiliations

  • M. A. Fiorillo
    • 1
  • P. G. Davidson
    • 1
    • 2
  • M. Fiorillo
    • 3
  • J. A. D’Anna
    • 1
    • 2
  • N. Sithian
    • 1
    • 2
  • R. J. Silich
    • 1
  1. 1.Department of SurgeryStaten Island University HospitalStaten IslandUSA
  2. 2.Department of SurgeryState University of New York Health Science Center at BrooklynNYUSA
  3. 3.State University of New York at BinghamtonVestal Parkway EastBinghamtonUSA
  4. 4.Staten Island Surgical AssociatesStaten IslandUSA