Randomized clinical trial of day-care<i>versus</i>overnight-stay laparoscopic cholecystectomy

Johansson, Mikael; Thune, Anders; Nelvin, Leif; Lundell, Lars

doi:10.1002/bjs.5241

Cited by 109 publications

(122 citation statements)

References 30 publications

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“…Other works described average 2.9 days 12 , three days 9 and 3.99 days 13 . There are reports of "day-care" hospitalization (4 to 6 hours) 14 . This short period of hospitalization is recommended for young people and should be viewed with great reserve for the elderly.…”

Section: Results Results Results Resultsmentioning

confidence: 99%

Colecistectomia videolaparoscópica em 960 pacientes idosos

Loureiro

Klein

Pavan

et al. 2011

Rev. Col. Bras. Cir.

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Results Results: operative time ranged from nine to 180 minutes. The length of stay ranged from 24 to 120 hours. Conversion occurred in 28 patients (2.92%), of which 67.9% were women and 28.6% men, a minilaparotomy having been performed in 11 cases (39.3%) and in 17 (60.7%) the conventional open route. The perioperative complications were two ruptures of the gallbladder, a failure in the pneumoperitoneum and in clipping of the cystic duct. Post-operative complications were five umbilical incisional hernias. Systemic complications were: nine arrhythmias, one postoperative jaundice, one acute myocardial infarction and one mesenteric infarction. Mortality occurred in three patients (0.3%), one due to perioperative myocardial infarction, one due to sepsis and one because of the mesenteric infarction. Conclusion Conclusion Conclusion Conclusion Conclusion: elderly patients undergoing laparoscopic cholecystectomy had low hospital stay and low morbimortality. The operative time and hospital stay were short, demonstrating that laparoscopic cholecystectomy is safe and effective in the elderly.

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Section: Results Results Results Resultsmentioning

confidence: 99%

Colecistectomia videolaparoscópica em 960 pacientes idosos

Loureiro

Klein

Pavan

et al. 2011

Rev. Col. Bras. Cir.

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“…Gurusamy et al [16] reported lower wound infection rate in the no drain group than in the drain group, maybe because of the presence of a foreign body. Johansson et al [22] safely performed day-case LC with low rates of re-admissions. However, the insertion of drain can delay the discharge and, thus, decrease any saving in costs of day-case LC [16].…”

Section: Discussionmentioning

confidence: 99%

Routine Sub-hepatic Drainage versus No Drainage after Laparoscopic Cholecystectomy: Open, Randomized, Clinical Trial

Shamim¹

2012

Indian J Surg

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“…Improvements in anaesthetics and increased surgeons laparoscopic experience have encouraged surgeons to perform LC as an elective outpatient procedure with only a few hours' hospital stay post-surgery. Many studies and literature reported the effectiveness and safety of ambulatory LC in selected patients, with reduced cost and high level of patient satisfaction [12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy as a day surgery operation: two centers experience.

Ghnnam¹,

Ellatif²,

Elbeshry³

et al. 2017

Int J Surg Med

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Background: Day-surgery, laparoscopic cholecystectomy (DSLC) becomes the standard management of chronic gall bladder diseases worldwide due to its safety and feasibility. The aim of our study was to assess DSLC at two secondary care governmental hospitals in Saudi Arabia with a separate day-surgery unit regarding complications, same-day discharge, to identify problems associated with the early discharge, and determine the degree of patient satisfaction. Methods: Over a 3-years period, all patients undergoing elective laparoscopic cholecystectomy under the authors were prospectively studied. All patients were asked on following up post-operatively about their satisfaction and recommendation of DSLC for their relatives and friends. Results: Eight hundred and sixteen patients underwent elective day surgery laparoscopic cholecystectomies, predominantly female (89.7%) and ASA I (77.2%) with a mean age 38.1 2 18.7 years. Eighty-eight percent of patients were discharged directly from the day surgery unit, and further 1.6% of patients (so nearly 89.6% of the patients) were discharged within 24 hours from the operation. Readmission following hospital discharges was necessary for three patients (0.37%). The overall rate of complications were 1.35% (11patients). At follow-up, 701 patients (97.36%) were satisfied with their experience undergoing DSLC. Conclusions: Our findings confirmed that DSLC is safe and feasible. Many patients showed high satisfaction with their length of stay and day surgery ward care although we extend the criteria for DSLC.

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Randomized clinical trial of day-careversusovernight-stay laparoscopic cholecystectomy

Cited by 109 publications

References 30 publications

Colecistectomia videolaparoscópica em 960 pacientes idosos

Colecistectomia videolaparoscópica em 960 pacientes idosos

Routine Sub-hepatic Drainage versus No Drainage after Laparoscopic Cholecystectomy: Open, Randomized, Clinical Trial

Laparoscopic cholecystectomy as a day surgery operation: two centers experience.

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