Outpatient laparoscopic cholecystectomy: A prospective study on 250 patients

Stefano Bona, Roberta Monzani, Uberto Fumagalli Romario, Mauro Zago, Diego Mariani, Riccardo Rosati

Research output: Contribution to journalArticle

Abstract

Background - Patient selection, postoperative monitoring and discharge criteria after outpatient laparoscopic cholecystectomy (LC) are not clearly defined. Methods - Patients scheduled for elective LC who fulfilled socioeconomic requirements for ambulatory surgery were enrolled in an open prospective study. Choledocholithiasis, ASA IV and unstable ASA III patients were excluded. Discharge was allowed after at least 6 hours if patients were conscious, asymptomatic, ambulant, with normal vital signs, no evidence of bleeding, spontaneous micturition and tolerating soft diet. Results - Of the 250 patients included, 10.4% were admitted due to intraoperative causes. Of the remaining, 92% were discharged on the same day and 8.0% were admitted for pain control or post-operative anxiety/discomfort. Neither mortality or major complications were observed. Ninety-five percent of patients declared themselves satisfied. History of jaundice, common bile duct dilation on ultrasound, microlithiasis, abnormal preoperative alkaline phosphatase levels and surgeon's experience were independent predictors of admission due to intraoperative causes. No predictor of postoperative admission was identified. Cost analysis showed a benefit for ambulatory LC compared to overnight stay. Conclusion - Outpatient LC is feasible and safe with high patient satisfaction even with broad selection criteria. Improvements may be achieved in postoperative pain management.

Original languageEnglish
Pages (from-to)1010-1015
Number of pages6
JournalGastroenterologie Clinique et Biologique
Volume31
Issue number11
DOIs
Publication statusPublished - Nov 2007

ASJC Scopus subject areas

  • Gastroenterology

Fingerprint Dive into the research topics of 'Outpatient laparoscopic cholecystectomy: A prospective study on 250 patients'. Together they form a unique fingerprint.

  • Cite this