Day-case laparoscopic cholecystectomy: analysis of 59 consecutive patients

Abstract

Objective To evaluate the feasibility and outcome of laparoscopic cholecystectomy as a overnight procedure in China. Methods The data of 59 consecutive patients who had undergone outpatient laparoscopic cholecystectomy between January 2013 and January 2015. All the patients were operated in the morning hours and discharged during 24 hours after operation. They were contacted by telephone 3 days subsequent to surgery and were seen in the outpatient unit 7 days after. Results Fifty-nine laparoscopic cholecystectomies were performed. No Conversion to open surgery case. The average operation time was 25 minutes, and restore semi-liquid diet 6 hours after the operation All the 59 patients were discharged during 24 hours after operations. None of the patients had an emergency readmission. None of the patients had complications 7 days after discharged. The average payment was 8 240 yuan. Conclusion These results suggest that laparoscopic cholecystectomy can be routinely performed as a overnight procedure. Key words: Cholecystectomy, laparoscopic; Day-case laparoscopic cholecystectomy; Fast track surgery; Physician′s practice patterns