Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis
Objective: The objective of the study was to determine the success rate of ambulatory laparoscopic cholecystectomy with an enhanced recovery after surgery (ERAS) protocol, in patients with symptomatic cholelithiasis. Materials and methods: Prospective cohort of patients with symptomatic cholelithias...
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Permanyer
2022-01-01
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Series: | Cirugía y Cirujanos |
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Online Access: | https://www.cirugiaycirujanos.com/frame_esp.php?id=787 |
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author | Ma. de los Ángeles Mendoza-Vélez Luis E. Cárdenas-Lailson Erika Barlandas-Quintana Asya Zubillaga-Mares |
author_facet | Ma. de los Ángeles Mendoza-Vélez Luis E. Cárdenas-Lailson Erika Barlandas-Quintana Asya Zubillaga-Mares |
author_sort | Ma. de los Ángeles Mendoza-Vélez |
collection | DOAJ |
description | Objective: The objective of the study was to determine the success rate of ambulatory laparoscopic cholecystectomy with an enhanced recovery after surgery (ERAS) protocol, in patients with symptomatic cholelithiasis. Materials and methods: Prospective cohort of patients with symptomatic cholelithiasis underwent elective surgery at the General and Endoscopic Surgery Division of the General Hospital “Dr. Manuel Gea González” from July 2015 to September 2017. Results: 160 patients were included, the mean age was 36.8 years (15-73 years), and 83.7% were women. We obtained a success rate of 95.6% with this protocol. Two patients required postoperative unplanned hospitalization (1.2%), one of them had surgical treatment (0.6%). Five patients presented post-operative complications (3.1%): one with acute pancreatitis (0.6%) and four (2.5%) were diagnosed with surgical site infection. Overall satisfaction with procedure was close to 99%. Conclusion: The performance of ambulatory laparoscopic cholecystectomy with an ERAS protocol in patients with symptomatic cholelithiasis has an adequate success rate, as well as postoperative evolution. Our study shows its safety, reliability, and possibility for routinely implementation without presenting a significant number of complications.
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first_indexed | 2024-04-13T11:20:26Z |
format | Article |
id | doaj.art-eb53f3b75da44d5ea84fe5adf7755e24 |
institution | Directory Open Access Journal |
issn | 2444-054X |
language | English |
last_indexed | 2024-04-13T11:20:26Z |
publishDate | 2022-01-01 |
publisher | Permanyer |
record_format | Article |
series | Cirugía y Cirujanos |
spelling | doaj.art-eb53f3b75da44d5ea84fe5adf7755e242022-12-22T02:48:51ZengPermanyerCirugía y Cirujanos2444-054X2022-01-01909210.24875/CIRU.21000489Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasisMa. de los Ángeles Mendoza-Vélez0Luis E. Cárdenas-Lailson1Erika Barlandas-Quintana2Asya Zubillaga-Mares3División de Cirugía Plástica y Reconstructiva, Hospital General “Dr. Rubén Leñero”, Mexico City, MexicoDivisión de Cirugía General y Endoscópica, Hospital General “Dr. Manuel Gea González”. Mexico City, MexicoDivisión de Cirugía General y Endoscópica, Hospital General “Dr. Manuel Gea González”. Mexico City, MexicoDivisión de Cirugía General y Endoscópica, Hospital General “Dr. Manuel Gea González”. Mexico City, MexicoObjective: The objective of the study was to determine the success rate of ambulatory laparoscopic cholecystectomy with an enhanced recovery after surgery (ERAS) protocol, in patients with symptomatic cholelithiasis. Materials and methods: Prospective cohort of patients with symptomatic cholelithiasis underwent elective surgery at the General and Endoscopic Surgery Division of the General Hospital “Dr. Manuel Gea González” from July 2015 to September 2017. Results: 160 patients were included, the mean age was 36.8 years (15-73 years), and 83.7% were women. We obtained a success rate of 95.6% with this protocol. Two patients required postoperative unplanned hospitalization (1.2%), one of them had surgical treatment (0.6%). Five patients presented post-operative complications (3.1%): one with acute pancreatitis (0.6%) and four (2.5%) were diagnosed with surgical site infection. Overall satisfaction with procedure was close to 99%. Conclusion: The performance of ambulatory laparoscopic cholecystectomy with an ERAS protocol in patients with symptomatic cholelithiasis has an adequate success rate, as well as postoperative evolution. Our study shows its safety, reliability, and possibility for routinely implementation without presenting a significant number of complications. https://www.cirugiaycirujanos.com/frame_esp.php?id=787Ambulatory laparoscopic cholecystectomy. Enhanced recovery after surgery. Accelerated postoperative recovery protocol. Symptomatic cholelithiasis. |
spellingShingle | Ma. de los Ángeles Mendoza-Vélez Luis E. Cárdenas-Lailson Erika Barlandas-Quintana Asya Zubillaga-Mares Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis Cirugía y Cirujanos Ambulatory laparoscopic cholecystectomy. Enhanced recovery after surgery. Accelerated postoperative recovery protocol. Symptomatic cholelithiasis. |
title | Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis |
title_full | Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis |
title_fullStr | Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis |
title_full_unstemmed | Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis |
title_short | Use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis |
title_sort | use of enhanced recovery after surgery protocol in laparoscopic cholecystectomy in patients with symptomatic cholelithiasis |
topic | Ambulatory laparoscopic cholecystectomy. Enhanced recovery after surgery. Accelerated postoperative recovery protocol. Symptomatic cholelithiasis. |
url | https://www.cirugiaycirujanos.com/frame_esp.php?id=787 |
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