Cholécystectomie coelioscopique ambulatoire: Expérience dun an sur des patients non sélectionnés

Translated title of the contribution: Outpatient laparoscopic cholecystectomy: A one year experience on unselected patients

F. Vandenbroucke, R. Létourneau, A. Roy, M. Dagenais, Sarah Bellemare, M. Plasse, R. Lapointe

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This study reviews our experience with outpatient laparoscopic cholecystectomy (CCA) to evaluate the benefits of this approach to routine clinical practice. Patients and methods: Of 217 consecutive patients undergoing laparoscopic cholecystectomy over a one-year period (2002-2003) at our university medical center, 151 were selected for same day surgery and discharge according to the following selection criteria: non-urgent surgery, no major co-morbidities, domicile within one hour of the hospital. Patients were typically discharged the afternoon of their surgery if their clinical condition was stable. Results: Of 151 planned outpatient CCA's, 122 (81%) were discharged on the day of surgery. Of these, 16 had a post-operative complication and three required readmission; no patient required reoperation. Univariate analysis revealed three factors predictive of failure of the outpatient strategy: age > 65 (p=0.015), operative duration (p<0.0001), and surgical start time after 11 am (p<0.0001). Conclusions: Outpatient laparoscopic cholecystectomy can be routinely accomplished in unselected patients in an academic center. The low rate of in-patient admission is acceptable. The out-patient strategy for laparascopic cholecystectomy allows for a reduction in waiting time at our institution.

Original languageFrench
Pages (from-to)215-218
Number of pages4
JournalJournal de Chirurgie
Volume144
Issue number3
DOIs
StatePublished - May 2007
Externally publishedYes

Fingerprint

Laparoscopic Cholecystectomy
Outpatients
Ambulatory Surgical Procedures
Patient Admission
Cholecystectomy
Reoperation
Patient Selection
Morbidity

Keywords

  • Cholecystectomy
  • Gallbladder
  • Gallstones
  • Outpatient surgery
  • Treatment

ASJC Scopus subject areas

  • Surgery

Cite this

Cholécystectomie coelioscopique ambulatoire : Expérience dun an sur des patients non sélectionnés. / Vandenbroucke, F.; Létourneau, R.; Roy, A.; Dagenais, M.; Bellemare, Sarah; Plasse, M.; Lapointe, R.

In: Journal de Chirurgie, Vol. 144, No. 3, 05.2007, p. 215-218.

Research output: Contribution to journalArticle

Vandenbroucke, F, Létourneau, R, Roy, A, Dagenais, M, Bellemare, S, Plasse, M & Lapointe, R 2007, 'Cholécystectomie coelioscopique ambulatoire: Expérience dun an sur des patients non sélectionnés', Journal de Chirurgie, vol. 144, no. 3, pp. 215-218. https://doi.org/10.1016/S0021-7697(07)89517-2
Vandenbroucke, F. ; Létourneau, R. ; Roy, A. ; Dagenais, M. ; Bellemare, Sarah ; Plasse, M. ; Lapointe, R. / Cholécystectomie coelioscopique ambulatoire : Expérience dun an sur des patients non sélectionnés. In: Journal de Chirurgie. 2007 ; Vol. 144, No. 3. pp. 215-218.
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