Laparoscopic cholecystectomy as a “true” outpatient procedure: Initial experience in 100 consecutive patients

Lillemoe, K. D.; Hardacre, JM; Talamini, MA; Cj, Yeo; Snyder, D.; Parker, SD

doi:10.1016/s0016-5085(98)85712-0

Cited by 6 publications

(4 citation statements)

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“…Evidence supporting safety of major DCS including laparoscopic cholecystectomy is predominantly composed of case series of selected patients. [1][2][3][4] However a word of caution has to be sounded, as there is evidence of potential complications in cases of ambulatory surgery. 6 In economically not-so-advanced countries there is lack of fundamental medicare infrastructure coupled with poor literacy rate, hence potential risks are more.…”

Section: Discussionmentioning

confidence: 99%

“…D aycare laparoscopic cholecystectomy (DCLC) has recently been espoused as a safe and viable procedure and is rapidly gaining popularity because of cost saving and convenience. The low rate of adverse events or complications during the intraoperative or immediate postoperative periods further justifies the rapid growth of this type of ambulatory surgery [1][2][3][4] . These reports, however, emanate from countries with hospitals that have dedicated ambulatory surgery units and have well-established norms and protocols for day care surgery.…”

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confidence: 99%

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Day Care Laparoscopic Cholecystectomy: A Feasibility Study in a Public Health Service Hospital in a Developing Country

Chauhan¹,

Mehrotra²,

Bhatia³

et al. 2006

World j. surg.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Day Care Laparoscopic Cholecystectomy: A Feasibility Study in a Public Health Service Hospital in a Developing Country

Chauhan¹,

Mehrotra²,

Bhatia³

et al. 2006

World j. surg.

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“…3 The consensus regarding treatment has been attributed to the lower mortality, decreased disability, shorter hospital admissions, and less patient discomfort. [4][5][6][7] Due to its effectiveness in treatment, the number of laparoscopic cholecystectomies has grown exponentially; for example, in New York State 711,406 cholecystectomies were performed from 1995 to 2013 with 637,308 (89.58%) being laparoscopic and outpatient laparoscopic cholecystectomy increasing more than 320-fold during this time. 8 Even as laparoscopic cholecystectomy remains the main modality of treatment for cholecystitis, the length of surgery and its effect on outcomes is not well defined.…”

Section: Introductionmentioning

confidence: 99%

Does Operative Time Affect Complication Rate in Laparoscopic Cholecystectomy

Wang

Bakshi

Sugiyama

et al. 2022

The American Surgeon™

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Background Laparoscopic cholecystectomy is the most common laparoscopic procedure performed in the United States. Our aim was to determine if increased operative time (OT) is associated with increased morbidity following laparoscopic cholecystectomy. Methods Using ACS NSQIP from 2006 to 2015, we identified all adult (≥18 years) patients that underwent laparoscopic cholecystectomy for cholecystitis performed within 3 days of admission. Our analysis was limited to cases with OT ≥15 minutes and ≤360 minutes. Outcome variables included postoperative surgical site infections (SSI), dehiscence, pneumonia, reintubation, failure to wean from ventilator, pulmonary embolism, renal failure, urinary tract infection, cardiac arrest, myocardial infarct, bleeding, deep vein thrombosis, sepsis, septic shock, return to the operating room, and death. Results 7,031 cases met inclusion criteria. Median OT was 63 minutes, first quartile was 46 minutes and third quartile was 87 minutes. Logistic regression analysis showed that increased OT (third vs first quartile) was an independent risk factor for superficial SSI (OR 1.75, 95% CI 1.36-2.25, P < .0001), organ-space SSI (OR 1.77, 95% CI 1.33-2.35, P < .0001), dehiscence (OR 2.03, 95% CI 1.01-4.07, P = 0.0470), and septic shock (OR 1.81, 95% CI 1.06-3.09, P = 0.0286). Increased OT was independently associated with increased LOS (fourth vs 1st quartile: IRR 1.53, P < 0.0001; third vs 1st quartile: IRR 1.29, P < .0001; 2nd vs 1st quartile: IRR 1.16, P < 0.0001). Conclusion Increased OT is independently associated with morbidity and increased LOS following laparoscopic cholecystectomy for cholecystitis. Prospective studies are warranted to determine which factors contribute to increased OT and why.

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“…2 Trials have presented that laparoscopic cholecystectomy patients in outpatient settings and those in inpatient settings recover equally well, indicating that a greater proportion of patients should be offered the outpatient modality. 3 A critical concern for surgeons performing a laparoscopic cholecystectomy is whether and when the technique ought to be changed over to an open cholecystectomy. 4 Change to an open technique ought not to be viewed as a difficulty, and the likelihood that it will demonstrate fundamental or fitting ought to be examined with the patient preoperatively.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus open cholecystectomy

Mallohi¹,

Almofarreh

Alfarrah³

et al. 2018

Int J Community Med Public Health

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Background: Laparoscopic cholecystectomy has promptly emerged as a popular alternative to traditional open laparotomy and cholecystectomy. The Objective of the current meta-analysis is to evaluate the effect of Laparoscopic versus open cholecystectomy.Methods: We conducted this meta-analysis using a comprehensive search of Cochrane database of systematic reviews, PubMed, Medline, EMBASE, and Cochrane central register of controlled trials till 15 March 2018 for studies that evaluated laparoscopic versus open cholecystectomy.Results: Eleven studies have been included with a total of 80691 patients: 41485 in the laparoscopic and 39206 into the open cholecystectomy groups. Odds ratios were regularly on the side of laparoscopic operation, in terms of respiratory complications (OR=0.32, 95%CI: 0.34-2.64, p<0.0001), mortality (OR=0.19, 95%CI: 0.08-1.05, p<0.0001), and morbidity (OR=0.31, 95%CI: 0.11-0.45, p<0.0001).Conclusions: Using laparoscopic cholecystectomy decreased morbidity, mortality, and respiratory complications rates. Large-scale and long-term randomized controlled trials in various populations must be carried out in future studies to deliver more significant evidence.

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Laparoscopic cholecystectomy as a “true” outpatient procedure: Initial experience in 100 consecutive patients

Cited by 6 publications

References 0 publications

Day Care Laparoscopic Cholecystectomy: A Feasibility Study in a Public Health Service Hospital in a Developing Country

Day Care Laparoscopic Cholecystectomy: A Feasibility Study in a Public Health Service Hospital in a Developing Country

Does Operative Time Affect Complication Rate in Laparoscopic Cholecystectomy

Laparoscopic versus open cholecystectomy

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