Transitions in laparoscopic cholecystectomy

Abstract

The current study demonstrated a net trend toward ambulatory laparoscopic cholecystectomy and a shorter length of hospital stay. Almost half of our patients with gallstone disease currently are using the ambulatory laparoscopic cholecystectomy service, with young women constituting the majority. We predict that ambulatory laparoscopic cholecystectomy heralds the wave of the future, and our experience may serve as a blueprint for other institutions wishing to embark on this journey.

A prospective study of ambulatory laparoscopic cholecystectomy: Training economic, and patient benefits

“…However, there was a trend toward an annual increase in the proportion of ALC, and by 2002, 53% of cholecystectomies were performed as day cases. The proportion of ALC increased with experience and this is consistent with published data [14,20]. We expect to modify our day case selection criteria to include some ASA III patients as others have done to further expand the service [16].…”

Analysis of a structured training programme in laparoscopic cholecystectomy

“…[9,10] The bile duct injury rates are also now similar to open cholecystectomy after surgeons were able to conquer the initial learning curve, which in laparoscopic cholecystectomy required more time than expected [11].…”

Urgent Laparoscopic Cholecystectomy Is the Best Management for Biliary Colic

“…Patients with symptomatic gallstone disease make up a significant percentage of the patients awaiting elective surgical procedures [1,2,3,4,5,6,7]. Biliary colic is one of the common initial presentations of gallstone-related problems [3, 8].…”