Ambulatory laparoscopic cholecystectomy. A cohort study of 1,600 consecutive cases

作者：Planells Roig Manuel; Garcia Espinosa Rafael; Cervera Delgado Maria; Navarro Vicente Francisco; Carrau Giner Miguel; Sanahuja Santafe Angel; Arnal Bertomeu Consuelo

来源：Cirugia Espanola, 2013, 91(3): 156-162.

DOI：10.1016/j.ciresp.2012.08.009

• Ambulatory laparoscopic cholecystectomy
• Ambulatory surgery
• Cost-effective laparoscopic cholecystectomy

Objective: A descriptive analysis of day-case laparoscopic cholecystectomy (ALC) in a cohort of 1,600 consecutive patients performed in Instituto de Cirugia y Aparato Digestivo ( ICAD), Clinica Quiron de Valencia in the period 1997-2010.
Patients and methods: Prospective observational study of 1,601 consecutive patients undergoing elective laparoscopic cholecystectomy (LC) provided by the regional health service and private health companies.
Main measures: Conversion rate, non-planned admissions, readmissions, surgery duration and demographics.
Results: ALC was successfully performed in 80.8% of cases. LC with over-night (ON) stay accounted for 13.4% of patients. Admission was necessary in 4.6%. Mortality was 0.13%, 0.08 in ALC and 0.5% in ON LC. Readmissions occurred in 2.1%, 1.6% in ALC group, 5.4% in ON stay and 4.2% in admission group.
Conclusions: ALC is a reliable and safe procedure. Minimization of admission rates is the key for cost-effective optimization in the management of cholelithiasis. ALC should be considered as the reference standard in gallbladder stone disease treatment.

• 出版日期2013-3