Whether or not laparoscopic cholecystectomy may be performed safely as an outpatient procedure is controversial.
In 1993, a protocol for outpatient laparoscopic cholecystectomy was instituted to determine the benefits and safety of discharging patients within several hours of surgery.
The initial 60 outpatient laparoscopic cholecystectomies performed by one surgeon in a hospital-based outpatient teaching facility between February 1993 to June 1996 were prospectively studied.
Fifty-eight (97%) patients were discharged successfully after an average stay in the recovery room of 3 h. There were no deaths.
Two patients required overnight observation and three patients required readmission.
The average hospital stay for all patients undergoing laparoscopic cholecystectomy at the institution (inpatient and outpatient) decreased from 3.2 to 1.5 days and the average hospital cost decreased from $7,800 to $4,600 during this period.
Laparoscopic cholecystectomy in an outpatient setting is safe and cost-effective in healthy patients.
Mots-clés Pascal : Cholécystectomie, Ambulatoire, Voie abord, Laparoscopie, Indication, Sécurité, Coût, Résultat, Homme, Vésicule biliaire, Chirurgie, Appareil digestif pathologie, Voie biliaire pathologie, Endoscopie, Economie santé
Mots-clés Pascal anglais : Cholecystectomy, Ambulatory, Surgical approach, Laparoscopy, Indication, Safety, Costs, Result, Human, Gallbladder, Surgery, Digestive diseases, Biliary tract disease, Endoscopy, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0062657
Code Inist : 002B25G03. Création : 14/05/1998.