Abstract
Laparoscopic cholecystectomy is nearly exclusively carried out as an inpatient operation in Germany. The aim of the study was to evaluate for which patients postoperative laboratory control values are necessary. This retrospective analysis included 100 patients who underwent elective laparoscopic cholecystectomy. Ascoring and data collection sheet was developed, which enables arisk stratification. Using the scoring system patients can achieve between 3 and 15points. In total 100 patients were included in the study. Of the patients 64 (group1) had between 3and 8points, 29patients (group2) between 9and 11points and 7patients (group3) between 12and 15points. In comparison to group 1 the C‑reactive protein values as well as the duration of hospital stay were significantly increased in group2 and group3 (p > 0.05). In group1 a total of 60patients (93.7%) were discharged regularly on postoperative days 1-3. In group2 there were 17patients (58.6%) who could be discharged with unremarkable blood values and in group3 there were 3patients (42.8%). In the total collective hospital discharge without alaboratory control of blood values would have been justified in 80% of the patients. Apostoperative control of laboratory blood values is not routinely necessary for patients after elective laparoscopic cholecystectomy with ascore <9points.
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