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, S. Bellemare, M. Plasse, R. Lapointe

Research output: Contribution to journalArticle

8 Scopus citations

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.

Translated title of the contributionOutpatient laparoscopic cholecystectomy: A one year experience on unselected patients
Original languageFrench
Pages (from-to)215-218
Number of pages4
JournalJournal de Chirurgie
Volume144
Issue number3
DOIs
StatePublished - Jan 1 2007
Externally publishedYes

Keywords

  • Cholecystectomy
  • Gallbladder
  • Gallstones
  • Outpatient surgery
  • Treatment

ASJC Scopus subject areas

  • Surgery

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