Evaluación de la seguridad y satisfacción de los pacientes en un programa de colecistectomía laparoscópica ambulatoria con criterios expandidos

Sala-Hernández, Angela; Castro, Pablo Granero; Montalvá, Eva; Maupoey, Javier; García-Domínguez, Rafael; Bueno-Lledó, José; Cirión, Jose L. Ibañez; Andújar, Rafael López

doi:10.1016/j.ciresp.2018.06.021

Cited by 8 publications

(3 citation statements)

References 25 publications

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“…Several studies mention their success rate for this procedure [8][9][10][11][12] (Table 3). For instance, Jiménez and Costa 11 described their experience with 100 cases of outpatient laparoscopic cholecystectomy subjected to a protocolized anesthesia that included intraperitoneal and parietal use of local anesthesia achieving excellent pain control, the main cause of hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis

Mendoza-Vélez¹,

Cárdenas-Lailson²,

Barlandas-Quintana³

et al. 2022

CIRU

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Objective:The objective of the study was to determine the success rate of ambulatory laparoscopic cholecystectomy with an enhanced recovery after surgery (ERAS) protocol, in patients with symptomatic cholelithiasis. Materials and methods: Prospective cohort of patients with symptomatic cholelithiasis underwent elective surgery at the General and Endoscopic Surgery Division of the General Hospital "Dr. Manuel Gea González" from July 2015 to September 2017. Results: 160 patients were included, the mean age was 36.8 years (15-73 years), and 83.7% were women. We obtained a success rate of 95.6% with this protocol. Two patients required postoperative unplanned hospitalization (1.2%), one of them had surgical treatment (0.6%). Five patients presented post-operative complications (3.1%): one with acute pancreatitis (0.6%) and four (2.5%) were diagnosed with surgical site infection. Overall satisfaction with procedure was close to 99%. Conclusion: The performance of ambulatory laparoscopic cholecystectomy with an ERAS protocol in patients with symptomatic cholelithiasis has an adequate success rate, as well as postoperative evolution. Our study shows its safety, reliability, and possibility for routinely implementation without presenting a significant number of complications.

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Section: Discussionmentioning

confidence: 99%

Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis

Mendoza-Vélez¹,

Cárdenas-Lailson²,

Barlandas-Quintana³

et al. 2022

CIRU

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“…La cirugía mayor ambulatoria es una alternativa segura para la colecistectomía electiva 11 , 12 , en casos adecuadamente seleccionados, disminuyendo la exposición del paciente al contagio intrahospitalario y contribuyendo a dar respuesta a la demanda de camas hospitalarias durante la pandemia. Sin embargo, solo el 37,9% de los centros tienen habitualmente experiencia en esta estrategia ( tabla 1 ), debiendo implementarse en la fase de desescalada.…”

Section: Discussionunclassified

Encuesta nacional sobre el tratamiento de la colelitiasis en España durante la fase inicial de la pandemia por COVID-19

Ielpo¹,

Prieto

Ortega

et al. 2021

Cirugía Española

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“…The ambulatory laparoscopic cholecystectomy (LC) is one of the best clinical practice of day surgery. Since Philippe Mourret conducted the first case of LC in 1987 in France [7], the LC has spread with an incredible speed worldwide and has become the gold standard for the treatment and care for symptomatic gallbladder diseases [8] due to the similar outcomes of patients but shorter hospital stays compared to the traditional opening cholecystectomy [9]. The data showed that ambulatory LC presented in 1, 2 1 3 1 over 50% and 75% of all LC cases in some European countries and the USA, respectively [10].…”

Section: Introductionmentioning

confidence: 99%

Thirty-Day Unplanned Readmission After Ambulatory Laparoscopic Cholecystectomy in Western China: A Retrospective Study

Huang

Dai

et al. 2021

Cureus

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Background Day surgery has been gradually accepted by health professions globally, which can shorten the hospital stay and reduce medical costs. The ambulatory laparoscopic cholecystectomy (LC) has been performed in China since over 10 years. However, few studies focus on its 30-day unplanned readmission rate of ambulatory LC and no standard of unplanned readmission rate for that now. Purpose This study aimed to evaluate the unplanned readmission rate and the reasons readmission after ambulatory LC in a tertiary hospital, which is the earliest ambulatory surgery implementation place in western China. Methods A retrospective analysis was conducted. The patients who underwent ambulatory LC from September 2015 to September 2019 in West China Hospital were screened. The 30-day unplanned readmission rate was calculated as the first outcome. The reasons for unplanned readmission were analyzed and classified as the second outcome. Results The study included 3,014 patients, and the unplanned readmission rate was 1.53%. The rate of patients diagnosed with cholecystolithiasis with cholecystitis was significantly higher in the unplanned readmission group (73.9% vs. 48.9%, p=0.003), and medical cost of unplanned readmission patients was significantly more than that of non-readmission patients (8,102.4±1,375.7 Yuan vs. 7,574.61±10,14.0 Yuan; p=0.008). It was observed that 71.7% readmission happened in the first seven days. Wound problems (60.9%) and abdominal pain (26.1%) went the two main reasons for unplanned readmission. Conclusions The analysis revealed that the unplanned readmission rate of 1.53% was low for ambulatory LC. Some causes of unplanned readmission, such as abdominal pain and wound site pain, wound exudate could be reduced by some simple interventions of the clinical professions.

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Evaluación de la seguridad y satisfacción de los pacientes en un programa de colecistectomía laparoscópica ambulatoria con criterios expandidos

Cited by 8 publications

References 25 publications

Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis

Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis

Encuesta nacional sobre el tratamiento de la colelitiasis en España durante la fase inicial de la pandemia por COVID-19

Thirty-Day Unplanned Readmission After Ambulatory Laparoscopic Cholecystectomy in Western China: A Retrospective Study

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