Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit? A. Martínez Vieira, F. Docobo Durántez, J. Mena Robles. Abstract. MOORE, John Henry et al. Ambulatory laparoscopic cholecystectomy: a cost-efficient model of laparoscopic surgery. rev. colomb. cir. [online]. Download Citation on ResearchGate | Colecistectomía laparoscópica ambulatoria | SUMMARY Objective: We present our experience in lap- aroscopic .

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Am J Surg ; 6: Outcomes were significantly better in the first group, whose procedures were seen to be also more deeply standardized. Thus, patients who are at high-risk regarding anes-thesia may not be included, where in addition to potential surgical complications an eye must be colecistctomia on potential anesthesia-related complications.

For a DSU program to be implemented, the following conditions are necessary: Overall experience regarding LC in MOS is consistent with observations in other techniques, that is, that greater expertise in a procedure and its common daily-care use improve results. Other complications that lead to unexpected extension of the hospital stays bleeding, drainage, etc.

When it is necessary for patients to have a recovery period of more than 24 hours in hospital, with the subsequent increase in costs, we are faced with the concept known as Short Stay Surgery SSS.

Rev Esp Enferm Dig ; To this end hospitals usually rely on nearby hotels where patients may stay following hospital discharge, should they wish so, so that they may be cared for by their surgeon if needed.

Recently, Oteiza et al. Although many comparative studies exist collecistectomia all sorts of partial aspects that clear-ly reveal the benefits of LC -from classic morbidity and mortality, and hospital stay studies to sophisticated studies on- say -post-procedural immune response- only two prospective, randomized, single-blind studies compared laparoscopic versus open cholescystectomy 1,2and none showed clearly significant differences for either procedure.


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Tratamiento de la hernia inguinocrural. If this surgical activity is going to be carried out in a DSU as well as in Short Stay Units it is necessary an appropriate selection of patients, the establishment of protocols for each phase, and an adequate evaluation of the service offered. But quality management is as important regarding “offered quality” as regarding “perceived quality”, and this is often harder to convey so that early discharged patients perceive it, be it because of fear even in the absence of complications or because of a magnification of events that obviously might also have developed should the patient have stayed in hospital.

We believe that, as long as the clinical status is suitable in the postoperative period, discharge on the same day of the procedure should be the option of choice. We should not be oblivious laparosfopica the fact that the so-called “surgeon factor” may never be blind laparosopica is difficult to assess- and therefore double-blind studies are not feasible. Feasibility and safety of day care laparoscopic cholecistectomy in a developing country. Laparoscopic cholecystectomy has been improved in such a way that, used in the treatment of non-complicated biliary lithiasis, it has become a part of the service offered by the SSS units and, nowadays, by the DSUs 2,3.

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A Day Surgery Unit DSU is characterised by performing surgical procedures which, carried out using whatever type of anesthesia, require a short post-operative period, and therefore patients can be discharged a few hours after the procedure 1. The only efficient way to prevent these hospital stays is comprehensive information and patient individualization. Group A patients were discharged between 24 and 48 hours after the procedure and required a one-day stay in hospital, and group B patients were discharged in less than 24 hours, without hospitalization.

Ann Surg ; For a group of patients it will not be the suitable technique due to medical reasons; for another, much more varying group of patients it will not be feasible because of social reasons. We analyse the clinical and surgical characteristics and post-operative outcome of both groups of patients.


Randomized, prospective, single-blind comparison of laparoscopic versus small-incision cholecistectomy. Rev Esp Enferm Dig ; Statistical analysis was aided by the SPSS program, version In the operating theatre they received a balanced general anesthetic.

Value of measuring gallbladder motility in clinical practice. Postgrad Med J ; Analyses of these data showed statistically significant differences in the following variables: Eighty one out of 91 patients who underwent laparoscopic cholecystectomy during year have been included in this study. Laparoscopic cholecistectomy versus mini-laparotomy cholecistectomy. It is basically determined by the traditional belief that a longer period of health care provides better results than an outpatient regimen.

World J Surg ; Similarly, a small oclecistectomia of failures from intra- or postoperative complications exist, which will diminish as experience is gain-ed in both patient selection and oaparoscopica, anesthetic and nursing management scheduling. Thus, savings incurred will have a tremendous impact on health-care expense.

Colecistectomía laparoscópica y cirugía ambulatoria

The accounting peculiarities of the Spanish health-care system makes it very difficult to quantify presumed savings versus inpatient surgery, since the cost needed to set up a home care system infrastructure and that of readmissions colecisstectomia have to be subtracted from reduced costs per bed and day.

Quality of life GIQLI and laparoscopic cholecystectomy usefulness in patients with gallbladder dysfunction or chronic non-lithiasic biliary pain chronic acalculous cholecystitis.

Service of General, Digestive and Transplant Surgery.

Two patients presented a complication derived from surgery. Laparoscopic cholecystectomy in the treatment of biliary lithiasis: Incidents and complications arose in 9 patients