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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Main Authors: Ma. de los Ángeles Mendoza-Vélez, Luis E. Cárdenas-Lailson, Erika Barlandas-Quintana, Asya Zubillaga-Mares
Format: Article
Language:English
Published: Permanyer 2022-01-01
Series:Cirugía y Cirujanos
Subjects:
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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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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