Outpatient Laparoscopic Cholecystectomy: A Reality
Identifieur interne : 000562 ( Main/Merge ); précédent : 000561; suivant : 000563Outpatient Laparoscopic Cholecystectomy: A Reality
Auteurs : Daniele MaggioreSource :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons [ 1086-8089 ] ; 2002.
English descriptors
- KwdEn :
- MESH :
- contraindications : Cholecystectomy, Laparoscopic.
- Ambulatory Surgical Procedures, Female, Humans, Length of Stay, Male, Middle Aged.
Abstract
The author reports on his personal experience with outpatient laparoscopic cholecystectomy (LC), focusing on the main guidelines for preoperative and postoperative care and operating technique.
From January 1, 2000 to December 31, 2000, 71 laparoscopic cholecystectomies were performed on outpatients. The patients remained in the outpatient surgery center for 36 hours. In 4 cases, the operation was converted into laparotomy. Twenty patients remained in the hospital and were discharged 5 to 7 days later. Twelve were rehospitalized due to pathologies that could not be treated at home.
In all 71 cases, a complete remission of the symptoms occurred, and none of the patients died either during the operation or during the postoperative period. Eighty percent of patients were treated in outpatient surgery centers.
With clear guidelines, LC is a major surgical operation that can be performed in outpatient surgery centers without death or other major complications and with very good remission of symptoms.
Url:
PubMed: 12500838
PubMed Central: 3043442
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PMC:3043442Le document en format XML
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<author><name sortKey="Maggiore, Daniele" sort="Maggiore, Daniele" uniqKey="Maggiore D" first="Daniele" last="Maggiore">Daniele Maggiore</name>
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<author><name sortKey="Maggiore, Daniele" sort="Maggiore, Daniele" uniqKey="Maggiore D" first="Daniele" last="Maggiore">Daniele Maggiore</name>
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<series><title level="j">JSLS : Journal of the Society of Laparoendoscopic Surgeons</title>
<idno type="ISSN">1086-8089</idno>
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<imprint><date when="2002">2002</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ambulatory Surgical Procedures</term>
<term>Cholecystectomy, Laparoscopic (contraindications)</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
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<keywords scheme="MESH" qualifier="contraindications" xml:lang="en"><term>Cholecystectomy, Laparoscopic</term>
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<keywords scheme="MESH" xml:lang="en"><term>Ambulatory Surgical Procedures</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background:</title>
<p>The author reports on his personal experience with outpatient laparoscopic cholecystectomy (LC), focusing on the main guidelines for preoperative and postoperative care and operating technique.</p>
</sec>
<sec><title>Methods:</title>
<p>From January 1, 2000 to December 31, 2000, 71 laparoscopic cholecystectomies were performed on outpatients. The patients remained in the outpatient surgery center for 36 hours. In 4 cases, the operation was converted into laparotomy. Twenty patients remained in the hospital and were discharged 5 to 7 days later. Twelve were rehospitalized due to pathologies that could not be treated at home.</p>
</sec>
<sec><title>Results:</title>
<p>In all 71 cases, a complete remission of the symptoms occurred, and none of the patients died either during the operation or during the postoperative period. Eighty percent of patients were treated in outpatient surgery centers.</p>
</sec>
<sec><title>Conclusions:</title>
<p>With clear guidelines, LC is a major surgical operation that can be performed in outpatient surgery centers without death or other major complications and with very good remission of symptoms.</p>
</sec>
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