149 ambulatory laparoscopic cholecystectomies
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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.
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.
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.
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 wordsLaparoscopic cholecystectomy Ambulatorysurgery Complications
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- 3.Doherty VC, O’Donovan TR, Hill GJ (1988) Current status of ambulatory surgery in the United States. In: Hill G (ed) Outpatient surgery, 3rd ed. WB Saunders, Philadelphia, pp 1–6Google Scholar
- 4.American Society of Anesthesiologists (1963) New classification of physical status. Anesthesiology 24: 111Google Scholar
- 8.Mühe E (1986) Die erste Cholecystektomie durch das Laparoskop. Arch Klin Chir 369: 804Google Scholar
- 11.Reddick EJ, Olsen DO, Daniell JF, Saye WB (1989) Laparoscopic laser cholecystectomy. Laser Med Surg News Adv 7: 38–40Google Scholar