Laparoscopic cholecystectomy as a day surgery procedure

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dc.contributor.authorSingleton, R.
dc.contributor.authorRudkin, G.
dc.contributor.authorOsborne, G.
dc.contributor.authorWatkin, D.
dc.contributor.authorWilliams, J.
dc.date.issued1996
dc.descriptionPublisher's copy made available with the permission of the publisher © 1996 Australian Society of Anaesthetists
dc.description.abstractOutcome is presented for 40 consecutive laparoscopic cholecystectomies performed in a public teaching hospital day surgery unit. The unanticipated hospital admission rate on the day of surgery was 17.5% (seven patients) and the majority of these (12.5%; five patients) were due to surgery-related considerations. Two other admissions were due to nausea and vomiting. One patient was admitted to hospital on the second postoperative day with nausea and vomiting. Procedure duration for the day cases averaged 98 minutes (SD 25; range 60 - 167). Recovery room times before discharge averaged 272 minutes (SD 58; range 125 - 365). Each day surgery patient averaged 3.3 postoperative home visits from community nurses. Most patients (94%) mobilized at home by the second postoperative day and 85% resumed normal activities of daily living by two weeks. At follow-up, 25 patients (76%) stated they were happy to spend the first night at home, but seven (21%) would have preferred to remain in hospital for the first postoperative night. Laparoscopic cholecystectomy can be performed successfully as a day-case procedure, but long operating and recovery room times and potentially high admission rates suggest that these factors should be considered in cost equations for day-case management of this procedure.
dc.description.statementofresponsibilityR.J. SIngleton, G.E. Rudkin, G.A. Osborne, D.S. Watkins, J.A.R. Williams
dc.identifier.citationAnaesthesia and Intensive Care, 1996; 24(2):231-236
dc.identifier.doi10.1177/0310057x9602400215
dc.identifier.issn0310-057X
dc.identifier.issn1448-0271
dc.identifier.urihttp://hdl.handle.net/2440/10025
dc.language.isoen
dc.publisherSAGE Publications
dc.source.urihttp://www.aaic.net.au/Article.asp?D=1995193
dc.subjectHumans
dc.subjectPostoperative Complications
dc.subjectNausea
dc.subjectVomiting
dc.subjectTreatment Outcome
dc.subjectHospitalization
dc.subjectPatient Admission
dc.subjectPatient Discharge
dc.subjectActivities of Daily Living
dc.subjectAnesthesia Recovery Period
dc.subjectAmbulatory Surgical Procedures
dc.subjectCholecystectomy, Laparoscopic
dc.subjectFollow-Up Studies
dc.subjectCommunity Health Nursing
dc.subjectTime Factors
dc.subjectAdult
dc.subjectAged
dc.subjectMiddle Aged
dc.subjectHospitals, Teaching
dc.subjectHospitals, Public
dc.subjectHome Care Services
dc.subjectHospital Costs
dc.subjectPatient Satisfaction
dc.subjectFemale
dc.subjectMale
dc.titleLaparoscopic cholecystectomy as a day surgery procedure
dc.typeJournal article
pubs.publication-statusPublished

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