Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit?
Objective: analysis of clinical and surgical factors in a series of patients subjected to laparoscopic cholecystectomy in an outpatient unit and their relationship with time of discharge and patient acceptance. Patients and method: eighty one consecutive patients underwent to elective laparoscopic c...
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doaj-f9cd2e2b8154492b8c80d3210a850f5e2020-11-25T03:10:00ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-0108967452459S1130-01082004000700003Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit?A. Martínez Vieira0F. Docobo Durántez1J. Mena Robles2I. Durán Ferreras3J. Vázquez Monchul4F. López Bernal5E. Romero Vargas6University Hospital Virgen del RocíoUniversity Hospital Virgen del RocíoUniversity Hospital Virgen del RocíoUniversity Hospital Virgen del RocíoUniversity Hospital Virgen del RocíoUniversity Hospital Virgen del RocíoUniversity Hospital Virgen del RocíoObjective: analysis of clinical and surgical factors in a series of patients subjected to laparoscopic cholecystectomy in an outpatient unit and their relationship with time of discharge and patient acceptance. Patients and method: eighty one consecutive patients underwent to elective laparoscopic cholecystectomy during year 2002 within S.A.S. (Andalusian Health Service) from a surgical waiting list. Retrospective and comparative study between two groups: group A includes patients discharged between 24 and 48 hours after intervention; group B includes patients discharged in less than 24 hours. We analyse the clinical and surgical characteristics and post-operative outcome of both groups of patients. Results: group A was composed of 53 patients and group B of 28 patients. Factors of clinical significance which determined discharge after 24 hours included: early post-surgical incidences or complications (p = 0.017), inability to tolerate oral diet (p = 0.002), and doubts and feelings insecurity of patients regarding discharge by traditional means 62.3% (p = 0.0003). Conclusions: outpatient laparoscopic cholecystectomy is a safe and reliable procedure with a high acceptance rate and few complications. Perhaps traditional culture has to be changed to obtain better results.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082004000700003&lng=en&tlng=encolecistectomía laparoscópica ambulatoriacalidad percibidacirugía mayor ambulatoria |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
A. Martínez Vieira F. Docobo Durántez J. Mena Robles I. Durán Ferreras J. Vázquez Monchul F. López Bernal E. Romero Vargas |
spellingShingle |
A. Martínez Vieira F. Docobo Durántez J. Mena Robles I. Durán Ferreras J. Vázquez Monchul F. López Bernal E. Romero Vargas Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? Revista Espanola de Enfermedades Digestivas colecistectomía laparoscópica ambulatoria calidad percibida cirugía mayor ambulatoria |
author_facet |
A. Martínez Vieira F. Docobo Durántez J. Mena Robles I. Durán Ferreras J. Vázquez Monchul F. López Bernal E. Romero Vargas |
author_sort |
A. Martínez Vieira |
title |
Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? |
title_short |
Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? |
title_full |
Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? |
title_fullStr |
Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? |
title_full_unstemmed |
Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? |
title_sort |
laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? |
publisher |
Aran Ediciones |
series |
Revista Espanola de Enfermedades Digestivas |
issn |
1130-0108 |
description |
Objective: analysis of clinical and surgical factors in a series of patients subjected to laparoscopic cholecystectomy in an outpatient unit and their relationship with time of discharge and patient acceptance. Patients and method: eighty one consecutive patients underwent to elective laparoscopic cholecystectomy during year 2002 within S.A.S. (Andalusian Health Service) from a surgical waiting list. Retrospective and comparative study between two groups: group A includes patients discharged between 24 and 48 hours after intervention; group B includes patients discharged in less than 24 hours. We analyse the clinical and surgical characteristics and post-operative outcome of both groups of patients. Results: group A was composed of 53 patients and group B of 28 patients. Factors of clinical significance which determined discharge after 24 hours included: early post-surgical incidences or complications (p = 0.017), inability to tolerate oral diet (p = 0.002), and doubts and feelings insecurity of patients regarding discharge by traditional means 62.3% (p = 0.0003). Conclusions: outpatient laparoscopic cholecystectomy is a safe and reliable procedure with a high acceptance rate and few complications. Perhaps traditional culture has to be changed to obtain better results. |
topic |
colecistectomía laparoscópica ambulatoria calidad percibida cirugía mayor ambulatoria |
url |
http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082004000700003&lng=en&tlng=en |
work_keys_str_mv |
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