Laparoscopic cholecystectomy in Songklanagarind Hospital
Objective: To contribute our five years of experience of laparoscopic cholecystectomy in Songklanagarind Hospital and find out the risk factors of prolonged length of hospital stay. Material and Methods: A review of the hospital database of all the patients who underwent laparoscopic cholecystectomy...
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| Format: | Article |
| Language: | English |
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Prince of Songkla University
2007-08-01
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| Series: | Journal of Health Science and Medical Research (JHSMR) |
| Subjects: | |
| Online Access: | https://www.jhsmr.org/index.php/jhsmr/article/view/646 |
| _version_ | 1818131211623596032 |
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| author | S Ruangsin T Wanasuwannakul S Sangkhathat |
| author_facet | S Ruangsin T Wanasuwannakul S Sangkhathat |
| author_sort | S Ruangsin |
| collection | DOAJ |
| description | Objective: To contribute our five years of experience of laparoscopic cholecystectomy in Songklanagarind Hospital and find out the risk factors of prolonged length of hospital stay.
Material and Methods: A review of the hospital database of all the patients who underwent laparoscopic cholecystectomy between January 2001 and December 2005.
Results: A total of 539 laparoscopic cholecystectomies were performed; the conversion rate was 23.19%. In the cases of successful laparoscopic surgery; patients the mean time for hospital stay was 5.23 days. Surgical site infection occurred in 9.67% of the cases and prophylactic antibiotics were used for 85.27% of the patients. Significantly, surgical wound infection was associated with the type of drain used and also obesity (p = 0.03, p < 0.001). Local injections of marcaine did not reduce the volume/quantity of narcotic used (p=0.236), and was found to very slightly increase the incidence of wound infection (p = 0.215). Prophylactic postoperative nausea and vomiting (PONV) did not reduce the incidence of severe PONV and medication used (p = 0.109). One patient had a common bile duct injury (0.28%).
Conclusion: Laparoscopic cholecystectomy is a safe and feasible procedure. We have tried to improve the patient outcome through moving to a day care laparoscopic cholecystectomy surgical option. |
| first_indexed | 2024-12-11T08:17:20Z |
| format | Article |
| id | doaj.art-42082433326645289771469c66f5f31a |
| institution | Directory Open Access Journal |
| issn | 2586-9981 2630-0559 |
| language | English |
| last_indexed | 2024-12-11T08:17:20Z |
| publishDate | 2007-08-01 |
| publisher | Prince of Songkla University |
| record_format | Article |
| series | Journal of Health Science and Medical Research (JHSMR) |
| spelling | doaj.art-42082433326645289771469c66f5f31a2022-12-22T01:14:44ZengPrince of Songkla UniversityJournal of Health Science and Medical Research (JHSMR)2586-99812630-05592007-08-01254315321660Laparoscopic cholecystectomy in Songklanagarind HospitalS Ruangsin0T Wanasuwannakul1S Sangkhathat2Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Department of Anesthesia, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Objective: To contribute our five years of experience of laparoscopic cholecystectomy in Songklanagarind Hospital and find out the risk factors of prolonged length of hospital stay. Material and Methods: A review of the hospital database of all the patients who underwent laparoscopic cholecystectomy between January 2001 and December 2005. Results: A total of 539 laparoscopic cholecystectomies were performed; the conversion rate was 23.19%. In the cases of successful laparoscopic surgery; patients the mean time for hospital stay was 5.23 days. Surgical site infection occurred in 9.67% of the cases and prophylactic antibiotics were used for 85.27% of the patients. Significantly, surgical wound infection was associated with the type of drain used and also obesity (p = 0.03, p < 0.001). Local injections of marcaine did not reduce the volume/quantity of narcotic used (p=0.236), and was found to very slightly increase the incidence of wound infection (p = 0.215). Prophylactic postoperative nausea and vomiting (PONV) did not reduce the incidence of severe PONV and medication used (p = 0.109). One patient had a common bile duct injury (0.28%). Conclusion: Laparoscopic cholecystectomy is a safe and feasible procedure. We have tried to improve the patient outcome through moving to a day care laparoscopic cholecystectomy surgical option.https://www.jhsmr.org/index.php/jhsmr/article/view/646laparoscopic cholecystectomy, gall stone |
| spellingShingle | S Ruangsin T Wanasuwannakul S Sangkhathat Laparoscopic cholecystectomy in Songklanagarind Hospital Journal of Health Science and Medical Research (JHSMR) laparoscopic cholecystectomy, gall stone |
| title | Laparoscopic cholecystectomy in Songklanagarind Hospital |
| title_full | Laparoscopic cholecystectomy in Songklanagarind Hospital |
| title_fullStr | Laparoscopic cholecystectomy in Songklanagarind Hospital |
| title_full_unstemmed | Laparoscopic cholecystectomy in Songklanagarind Hospital |
| title_short | Laparoscopic cholecystectomy in Songklanagarind Hospital |
| title_sort | laparoscopic cholecystectomy in songklanagarind hospital |
| topic | laparoscopic cholecystectomy, gall stone |
| url | https://www.jhsmr.org/index.php/jhsmr/article/view/646 |
| work_keys_str_mv | AT sruangsin laparoscopiccholecystectomyinsongklanagarindhospital AT twanasuwannakul laparoscopiccholecystectomyinsongklanagarindhospital AT ssangkhathat laparoscopiccholecystectomyinsongklanagarindhospital |