Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy: Can the Postoperative Stay Be Reduced?
The aim of the study was to reevaluate the safety and feasibility of discharge 24 h after elective uncomplicated laparoscopic cholecystectomy. Since the introduction of laparoscopic cholecystectomy in our hospital, the minimum postoperative stay was considered to be two days based on surgeons’ exper...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2018-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/317914 |
| _version_ | 1827282786508079104 |
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| author | Goran Glavčić Mario Kopljar Mario Zovak Dubravka Mužina-Mišić |
| author_facet | Goran Glavčić Mario Kopljar Mario Zovak Dubravka Mužina-Mišić |
| author_sort | Goran Glavčić |
| collection | DOAJ |
| description | The aim of the study was to reevaluate the safety and feasibility of discharge 24 h after elective uncomplicated laparoscopic cholecystectomy. Since the introduction of laparoscopic cholecystectomy in our hospital, the minimum postoperative stay was considered to be two days based on surgeons’ experience. The study included 337 operations performed by 21 surgeons during 2016 in the Sestre milosrdnice University Hospital Centre. Conversion to open technique and cases of acute cholecystitis were excluded, while 15 patients had insufficient postoperative data. The mean length of stay was 2.38 (range 1 to 6) postoperative days, median two postoperative days. Serious complications involving suspected drain bile leakage and postoperative hemorrhage occurred in two (0.59%) patients, both in the first 24 h following surgery. One patient required emergency laparotomy on the first postoperative day. Readmission rate was 1.2%. The postoperative minor complication rate was 42 of 337 (12.46%); these included wound infections, urinary tract infections, symptoms included in postcholecystectomy syndrome, etc. The onset of these complications was mostly after postoperative day 3. The data obtained suggest that discharge on the first postoperative day after elective uncomplicated laparoscopic cholecystectomy should be considered safe and can be practiced in our hospital. |
| first_indexed | 2024-04-24T09:24:00Z |
| format | Article |
| id | doaj.art-d203ac02b03547d3b6c82412fed2efc4 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:24:00Z |
| publishDate | 2018-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-d203ac02b03547d3b6c82412fed2efc42024-04-15T15:23:19ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512018-01-0157.4.66967210.20471/acc.2018.57.04.09Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy: Can the Postoperative Stay Be Reduced?Goran Glavčić0Mario Kopljar1Mario Zovak2Dubravka Mužina-Mišić3Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDepartment of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaThe aim of the study was to reevaluate the safety and feasibility of discharge 24 h after elective uncomplicated laparoscopic cholecystectomy. Since the introduction of laparoscopic cholecystectomy in our hospital, the minimum postoperative stay was considered to be two days based on surgeons’ experience. The study included 337 operations performed by 21 surgeons during 2016 in the Sestre milosrdnice University Hospital Centre. Conversion to open technique and cases of acute cholecystitis were excluded, while 15 patients had insufficient postoperative data. The mean length of stay was 2.38 (range 1 to 6) postoperative days, median two postoperative days. Serious complications involving suspected drain bile leakage and postoperative hemorrhage occurred in two (0.59%) patients, both in the first 24 h following surgery. One patient required emergency laparotomy on the first postoperative day. Readmission rate was 1.2%. The postoperative minor complication rate was 42 of 337 (12.46%); these included wound infections, urinary tract infections, symptoms included in postcholecystectomy syndrome, etc. The onset of these complications was mostly after postoperative day 3. The data obtained suggest that discharge on the first postoperative day after elective uncomplicated laparoscopic cholecystectomy should be considered safe and can be practiced in our hospital.https://hrcak.srce.hr/file/317914Cholecystectomy, laparoscopicPatient dischargeLength of stayPostoperative complicationsHealth care costsCroatia |
| spellingShingle | Goran Glavčić Mario Kopljar Mario Zovak Dubravka Mužina-Mišić Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy: Can the Postoperative Stay Be Reduced? Acta Clinica Croatica Cholecystectomy, laparoscopic Patient discharge Length of stay Postoperative complications Health care costs Croatia |
| title | Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy:
Can the Postoperative Stay Be Reduced? |
| title_full | Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy:
Can the Postoperative Stay Be Reduced? |
| title_fullStr | Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy:
Can the Postoperative Stay Be Reduced? |
| title_full_unstemmed | Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy:
Can the Postoperative Stay Be Reduced? |
| title_short | Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy:
Can the Postoperative Stay Be Reduced? |
| title_sort | discharge after elective uncomplicated laparoscopic cholecystectomy can the postoperative stay be reduced |
| topic | Cholecystectomy, laparoscopic Patient discharge Length of stay Postoperative complications Health care costs Croatia |
| url | https://hrcak.srce.hr/file/317914 |
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