Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? A. Martínez Vieira, F. Docobo Durántez, J. Mena Robles. Abstract. MOORE, John Henry et al. Ambulatory laparoscopic cholecystectomy: a cost-efficient model of laparoscopic surgery. rev. colomb. cir. [online]. Download Citation on ResearchGate | Colecistectomía laparoscópica ambulatoria | SUMMARY Objective: We present our experience in lap- aroscopic .

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Feasibility and safety of day care laparoscopic cholecistectomy in a developing country. Rev Esp Enferm Dig ; Andalusian Health Service from a surgical waiting list.

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We believe that, as long as the clinical status is suitable in the postoperative period, discharge on the same day of the procedure should be the option of choice.

Recently, Oteiza et al. Even so, many patients choose to stay in hospital one day for no apparent reason, since they prefer the direct observation and care of professionals. Gallbladder motility and functional disorders. This evidence regarding a generally benign postoperative period led to consider that this technique could be performed on an outpatient basis with no overnight hospital stay, in a search for cost savings, either institutional or private, in each procedure.

All these patients were potential candidates for outpatient treatment. Its feasibility has colecistectomla demonstrated in all settings and differing countries with rather similar results Eighty one out of 91 patients who underwent laparoscopic cholecystectomy during year have colecistectokia included in this study. For a DSU program to be implemented, the following conditions are necessary: Laparoscopic cholecystectomy has been improved in such a way that, used in the treatment of non-complicated biliary lithiasis, it has become a part of the service offered by the SSS units and, nowadays, by the DSUs 2,3.


Rev Esp Enferm Dig ; Rev And Pat Digest ; Thus, not only has laparoscopy advanced in itself, but traditional techniques have also benefited from greater rigor in outcome studies, and healthy competition has shown up regarding “lesser invasion” with increasingly small incisions, and shorter stays and postoperative periods, all of which represents great value for patients.

Anesthesia for laparoscopy with emphasis on outpatient laparoscopy. One group performed the procedure habitually and on an outpatient basis in most cases, whereas the other group performed the technique rather sporadically among their scheduled standard procedures. No immediate postoperative incidents arose, and no patient expressed doubt or insecurity on the proposal of being discharged on the same day of surgery.

Laparoscopic cholecystectomy in the treatment of biliary lithiasis: Regarding other surgical procedures habitually included in MOS, LC has the differential characteristic of being a technique requiring general anesthesia for an approach of the peritoneal cavity.

Randomized, prospective, single-blind comparison of laparoscopic versus small-incision cholecistectomy. Group A patients were discharged between 24 and 48 hours after the procedure and required a one-day stay in hospital, and group B patients were discharged in less than 24 hours, without hospitalization. Lau H, Brooks DC.


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To evaluate the latter point it is necessary to focus on morbidity markers and quality as perceived by patients 8. How-ever, regardless of what surveys on satisfaction and perceived service quality indicate, discharging less than 24 hours after the procedure does not decrease quality or coldcistectomia a greater number of complications in the following month. Compared to inpatient surgery, it reduces the time a patient spends in hospital and therefore entails less interference lzparoscopica daily and working life 4.

Hospital 12 de Octubre. Ann Surg ; From what emerges from our study, and from data offered by other authors 10,11early postsurgical events bleeding, vomiting, etc.


In recent years it may be safely stated that a major change in the understanding laparoscopia surgery has taken place with laparoscopic surgery in the late s. Quality of life GIQLI and laparoscopic cholecystectomy usefulness in patients with gallbladder dysfunction or chronic non-lithiasic biliary pain chronic acalculous cholecystitis.

The criteria for inclusion in our study were: Thus, savings incurred will have a tremendous impact on health-care expense. Br J Surg ; In fact, initial distrust regarding this way of surgery has led to a careful analysis of its results which we are convinced was unparalleled before for surgical techniques.