Day-case laparoscopic cholecystectomy: results of 211 consecutive patients

Proske, Jan Martin; Dagher, Ibrahim; Revitea, Claudiu; Carloni, Alessio; Beauthier, Violaine; Labaille, T.; Vons, C.; Franco, Dominique

doi:10.1016/s0399-8320(07)89403-6

Cited by 32 publications

(13 citation statements)

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“…In cases of postoperative nausea and/or vomiting, 0.5 mg/ kg of metoclopramide was administered, and if nausea persisted, 4 mg of ondansetron was given. Discharge criteria were applied by means of a recovery score [1,2] at least 6 h after completion of the operation. If patients tolerated oral fluid, could walk, had passed urine spontaneously, and had no dyspnea, the decision about discharge was made by both the surgeon and an anesthetist before 6:30 p.m. Paracetamol/codeine (500/30 mg four times per day systematically) and, in cases of subsequent total thyroidectomy, thyroxin were supplied to the patients at discharge.…”

Section: Methodsmentioning

confidence: 99%

How to perform a thyroidectomy in an outpatient setting

Champault

Vons

Zilberman

et al. 2009

Langenbecks Arch Surg

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Section: Methodsmentioning

confidence: 99%

How to perform a thyroidectomy in an outpatient setting

Champault

Vons

Zilberman

et al. 2009

Langenbecks Arch Surg

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“…We successfully discharged 84% of our patients on the day of surgery, in keeping with experience outside the UK. [11][12][13] This figure could be improved to 89% by the exclusion of patients not meeting our day-case LC criteria. However, our analysis on an intention-to-treat basis represents a realistic appraisal of the true problems in setting up this service.…”

Section: A B Introduction Of a Day-case Laparoscopic Cholecystectomy mentioning

confidence: 99%

“…Contrary to other reports, we found no correlation between grade of operating surgeon and admission on univariate or multivariate analysis. 13,17 This should encourage service providers to maintain or increase training opportunities for surgeons, despite the introduction of daycase LC.…”

Section: A B Introduction Of a Day-case Laparoscopic Cholecystectomy mentioning

confidence: 99%

Introduction of a Day-Case Laparoscopic Cholecystectomy Service in the UK: A Critical Analysis of Factors Influencing Same-Day Discharge and Contact with Primary Care Providers

Briggs

Irving

Mann

et al. 2009

annals

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INTRODUCTION The objective of this study was to determine the safety and acceptability of the implementation of a day-case laparoscopic cholecystectomy (LC) service in a large UK teaching hospital, and analyse factors influencing contact with primary care providers. Wide-spread introduction of day-case LC in the UK is a major target of healthcare providers. However, few centres have reported their experience. In the US, out-patient surgery for LC has been reported, though many groups have utilised 24-h observation units to facilitate discharge. Concerns remain amongst surgeons regarding the feasibility and acceptability of the introduction of day-case LC in the UK. PATIENTS AND METHODS Comprehensive care and operative data were prospectively collected on the first 106 consecutive day-case procedures in our hospital. Postoperative recovery was monitored by telephone questionnaire on days 2, 5 and 14, including complications, satisfaction and general practitioner consultation. RESULTS A total of 106 patients were admitted for day-case LC, of whom 84% were discharged on the day of surgery. Patient satisfaction rate was 94% in both the successful day-case and the admitted patients. Mean operation time was 62 min, with an average total stay on the day-care unit of 426 min. Training-grade surgeons performed 31% of operations. Both the re-admission rate after surgery and rate of conversion to open surgery were 2%. Advice from primary healthcare providers was sought by 33% of patients within the first 14 postoperative days. CONCLUSIONS Introduction of day-case LC in the UK is feasible and acceptable to patients. The potential burden to primary care providers needs further study.

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“…Comparision showing success, failure and readmission rates of various studies (table 9) Study Total patients Success rate(%) Failure rate(%) Readmission rate(%) Selim et al [58] 200 90% 10% 10% Taylor et al [40] 108 87% 13% na Robinson et al [44] 387 70% 30% na S.S. Bal et al [45] 313 92% 8% 3% Ibramin et al [46] 70 100% 0% 1.5% Chauhan et al [47] 287 96% 4% 3% Athar et al [54] 50 92% 8% 2% Kaman et al [60] 106 95% 5% na Present study 50 90% 10% 4%…”

Section: Discussionmentioning

confidence: 99%

Day Care Laproscopic Cholecystectomy – A Prospective Study

Singh¹

2017

IOSR JDMS

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Day-case laparoscopic cholecystectomy: results of 211 consecutive patients

Cited by 32 publications

References 16 publications

How to perform a thyroidectomy in an outpatient setting

How to perform a thyroidectomy in an outpatient setting

Introduction of a Day-Case Laparoscopic Cholecystectomy Service in the UK: A Critical Analysis of Factors Influencing Same-Day Discharge and Contact with Primary Care Providers

Day Care Laproscopic Cholecystectomy – A Prospective Study

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