Abstract：
OBJECTIVE:A descriptive analysis of day-case laparoscopic cholecystectomy (ALC) in a cohort of 1,600 consecutive patients performed in Instituto de Cirugía y Aparato Digestivo (ICAD), Clínica Quirón de Valencia in the period 1997-2010. PATIENTS AND METHODS:Prospective observational study of 1,601 consecutive patients undergoing elective laparoscopic cholecystectomy (LC) provided by the regional health service and private health companies. MAIN MEASURES:Conversion rate, non-planned admissions, readmissions, surgery duration and demographics. RESULTS:ALC was successfully performed in 80.8% of cases. LC with over-night (ON) stay accounted for 13.4% of patients. Admission was necessary in 4.6%. Mortality was 0.13%, 0.08 in ALC and 0.5% in ON LC. Readmissions occurred in 2.1%, 1.6% in ALC group, 5.4% in ON stay and 4.2% in admission group. CONCLUSIONS:ALC is a reliable and safe procedure. Minimization of admission rates is the key for cost-effective optimization in the management of cholelithiasis. ALC should be considered as the reference standard in gallbladder stone disease treatment.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Planells Roig M,Garcia Espinosa R,Cervera Delgado M,Navarro Vicente F,Carrau Giner M,Sanahuja Santafé A,Arnal Bertomeu Cdoi
10.1016/j.ciresp.2012.08.009subject
Has Abstractpub_date
2013-03-01 00:00:00pages
156-62issue
3eissn
0009-739Xissn
1578-147Xpii
S0009-739X(12)00342-9journal_volume
91pub_type
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