HPB P55 An audit of the quality standards for Laparoscopic Cholecystectomy. Compliance with the AUGIS standards (AUGIS: Association of Upper Gastrointestinal Surgery of Great Britain and Ireland)

Abstract

Abstract Background Laparoscopic cholecystectomy, which is a minimally invasive operation, is one of the most common surgical procedures in the UK and worldwide. Indications for LC include acute or chronic cholecystitis, symptomatic cholelithiasis, biliary dyskinesia, acalculous cholecystitis, gallstone pancreatitis, and gallbladder masses or polyps. The purpose of this audit was to assess and compare the outcomes after LC with the standards published by the association of upper GI surgeons (AUGIS) and to formulate measures to improve services at Royal Albert Edward Infirmary. Methods A data of 56 patients who underwent cholecystectomy was analysed retrospectively by two different auditors. All patients who underwent both open and laparoscopic cholecystectomies were included in this study. Results Our results showed that the majority of the patients (40/56) were females. Only 3 patients had open cholecystectomy while the rest of the 53 patients had LC. 67% (38/56) were done as a day case and discharged home the same day after surgery. None of the patients had an emergency and thus timely management of the disease in terms of surgery within the first 7 days of presentation. 7/56 patients were readmitted with different complications. No bile duct injuries were recorded. Conclusions Our hospital was found out to be compliant with only ⅙ criteria assessed. This study concludes that there is a need to improve outcomes in all domains especially the easily reversible factors such as day case rates and readmission due to complications.