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Outpatient laparoscopic cholecystectomy. A prospective study with 100 consecutive patients
Affiliation:1. Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Minimally Invasive Surgery Stockholm (MISS), K53, SE-141 86 Stockholm, Sweden;2. Department of Anaesthesiology, Karolinska Institutet at Huddinge University Hospital, K53, SE-141 86 Stockholm, Sweden;1. The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea;2. Corneal Dystrophy Research Institute, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea;3. Eyereum Eye Clinic, Seoul, Korea;4. Biomedical Engineering Office, Research and Development, SCHWIND eye-tech-solutions, Kleinostheim, Germany;1. Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu Province, China;2. Department of Emergency, Yancheng Clinical Institute, Xuzhou Medical University (Yancheng City No.1 People''s Hospital), Yancheng, JiangSu Province, China;3. Department of Neurology, Yancheng Clinical Institute, Xuzhou Medical University (Yancheng City No.1 People''s Hospital), Yancheng, JiangSu Province, China;4. Neurosurgery Department, Shanghai Clinical Center of Chinese Academy of Sciences, Shanghai, China
Abstract:One hundred patients with cholelithiasis were included in a prospective consecutive follow-up study to evaluate laparoscopic cholecystectomy in a day surgical setting. The median operating time was 70 min. In 96% of the patients, it was possible to perform peroperative cholangiography. The median time off work was 7 days and the median time to full recovery was 14 days. Five patients were admitted due to weakness/nausea. Six patients were admitted due to conversion to open surgery or choledocholithiasis. Eighty-nine patients were treated in ambulatory surgery. We conclude that laparoscopic outpatient cholecystectomy can be performed safely with a low unplanned admission rate.
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