Resumo

ACUNA, Javier et al. Laparoscopic cholecystectomy with ultra short hospital stay. rev. colomb. cir. [online]. 2015, vol.30, n.2, pp.119-224. ISSN 2011-7582.

Background: At the introduction of laparoscopic cholecystectomy it was usual to have a one-day hospital stay (overnight) after surgery. Refinement of the surgical and anesthetic techniques has resulted in the discharge of patients on the same day of the operation. The aim of this study was to present our experience with laparoscopic cholecystectomy as an ambulatory procedure, with a hospital stay of less than six hours. Methods: A cohort study was carried out including all patients submitted to laparoscopic cholecystectomy. Inclusion criteria were: ages between 17 and 75 years, benign gallbladder disease (polyps and cholelithiasis), elective surgery, 1 and 2 ASA classification, residence at less than 20 kilometer distance, available telephone contact and the ambulatory regime informed consent. The same two surgeons operated on all patients. All patients were given general anesthesia with local anesthetic infiltration at the port sites. Results: A total of 1260 laparoscopic cholecystectomies were performed. 1207 (95,8%) had criteria to be included in the ambulatory regime. Only 23 (1.9%) out of the 1207 patients required hospitalization. Average time for hospital discharge was 4.18 hours (r: 3-10) and readmission percentage was 0.6%. Conclusions: In our series an ultra-short ambulatory laparoscopic cholecystectomy regime was implemented for the treatment of the benign biliary disease in selected patients with no negative incidence on the patients safety, and very low readmission rate and postoperative consultations.

Palavras-chave : cholecystitis; cholecystectomy; laparoscopic; ambulatory surgical procedures; learning curve.

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