EXPERIENCE OF AMBULATORY LAPAROSCOPIC CHOLECYSTECTOMY IN TURKISH PATIENTS

Abstract

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Keywords

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EXPERIENCE OF AMBULATORY LAPAROSCOPIC CHOLECYSTECTOMY IN TURKISH PATIENTS

Abstract

Aim: Laparoscopic cholecystectomy (LC) has become established as the standard procedure for gallstone disease. This study was performed to investigate safety and efficacy of ambulatory LC in selected patient population. Methods: 70 patients were selected for ambulatory LC based on ASA classification and the patient\'s willingness to accept the outpatient procedure. ASA-I and ASA-II patients were included into the study. The pain control consisted of using NSAID and infiltration of the port sites with a local anesthetic. The discharged patients were called by telephone in the evening after the operation and asked about their subjective symptoms. Results: All of the patients were successfully discharged at the day of surgery after mean 8 hours. Only one patient rehospitalised. All patients were controlled 7 days after the operation and no serious complication was noticed. Conclusion: Ambulatory LC is feasible and safety procedure that can be recommended for carefully selected patient population without overnight stay in hospital. Key words: Ambulatory, Outpatient, Laparoscopic cholecystectomy.

Keywords

• Ambulatory, Outpatient, Laparoscopic cholecystectomy

References

1. Manifold DK, Anggiansah A, Owen WJ. Effect of cholecystectomy on gastroesophageal and duodenogastric reflux. Am J Gastroenterol 2000;95(10): 2746-50
2. Hardy KJ, Miller H, Fletcher DR, Jones RM, Shulkes A, McNeil JJ. An evaluation of laparoscopic versus open cholecystectomy. Med J Aust 1994;160: 58-62
3. Lillemoe KD, Lin JW, Talamini MA, Yeo CJ, Snyder DS, Parker SD. Laparoscopic cholecystectomy as a “true” outpatient procedure: initial experience in 130 consecutive patients. Gastrointest Surg 1999;3(1):44-9
4. Robinson TN, Biffl WL, Moore EE, Heimbach JK, Calkins CM, Burch JM. Predicting failure of outpatient laparoscopic cholecystectomy. Am J Surg 2002;184(6):515-8
5. Vuilleumier H, Halkic N. Laparoscopic cholecystectomy as a day surgery procedure: implementation and audit of 136 consecutive cases in a university hospital. World J Surg 2004;28(8):737-40
6. Liberman MA, Howe S, Lane M. versus prophylaxis of nausea and vomiting in patients undergoing ambulatory laparoscopic cholecystectomy. Am J Surg 2000;179(1):60-2 placebo for
7. Berggren U, Gordh T, Grama D, Haglund U, Rastad J, Arvidsson D. Laparoscopic versus hospitalization sick leave, analgesia, and trauma responces. Br J Surg 1994;81: 1362-5 cholecystectomy:
8. Skattum J, Edwin B, Trondsen E et al. Outpatient laparoscopic surgery: feasibility and consequences for education and health care costs. Surg Endosc 2004;18(5):796-801

9. Thomas S, Singh J, Bishnoi PK, Kumar A. Feasibility of day-care open cholecystectomy: evaluation in an inpatient model. ANZ J Surg 2001;71(2): 93-7
10. Keulemans Y, Eshuis J, de Haes H et al. Laparoscopic cholecystectomy: day-care versus clinical observation. Ann Surg 1998;228(6):734-40 11. Lichten MP, cholecystectomy in the new millennium. Surg Endosc 2001;15(8):867-72 Zahalsky RL. Laparoscopic K, Ponsky JL. Cost-effectiveness of ambulatory laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 2001;11(3):182-4
11. Orlando R 3rd, Russell JC. Managing gallbladder disease in a cost-effective manner. Surg Clin North Am 1996;76(1): 117-28
12. Dentz ME, Grichnik KP, Sibert KS, Reves JG. Anesthesia and postoperative analgesia. In: Sabiston DC, Lyerly HK (eds) Sabiston Textbook of Surgery, the biological basis of modern surgical practice. 15th edition. W. B. Saunders Company, Philadelphia 1997:186-206
13. Young J, O’Connell B. Recovery following laparoscopic cholecystectomy in either a 23 hour or an 8 hour facility. J Qual Clin Pract 2001;21(1-2):2-7
14. Fallis WM, Scurrah D. Outpatient laparoscopic cholecystectomy: home visit versus telephone follow-up. Can J Surg 2001;44(1):39-44
15. Gupta A, Thorn SE, Axelsson K et al. Postoperative pain relief using intermittent ropivacaine through a catheter after laparoscopic cholecystectomy. Anesth Analg 2002;95(2):450-6 of 0.5%
16. Coloma M, White PF, Markowitz SD et al. Dexamethasone in combination with dolasetron for prophylaxis in the ambulatory setting: effect on outcome after Anesthesiology 2002;96(6):1346-50
17. cholecystectomy. 19. Hession MC. Factors influencing
18. successful discharge after outpatient laparoscopic
19. Perianesth Nurs 1998;13(1):11-5 J
20. Michaloliakou C, Chung F, Sharma S. Preoperative multimodal analgesia facilitates recovery after ambulatory laparoscopic cholecystectomy. Anesth Analg 1996;82(1):44-51
21. Joshi GP. Postoperative pain management. Int Anesthesiol Clin 1994;32(3):113-26
22. Serralta A, Garcia-Espinosa R, Martinez- Casan P et al. Outpatient laparoscopic cholecystectomy. Four years of experience (with English abstract). Rev Esp Enferm Dig 2001;93(4):207-13
23. Hollington P, Toogood GJ, Padbury RT. A prospective randomized trial of day-stay only versus overnight-stay laparoscopic cholecystectomy. Aust N Z J Surg 1999; 69(12):841-3