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Titolo:
Feasibility of day-care open cholecystectomy: Evaluation in an inpatient model
Autore:
Thomas, S; Singh, J; Bishnoi, PK; Kumar, A;
Indirizzi:
Lady Hardinge Med Coll, Dept Surg, New Delhi, India Lady Hardinge Med Coll New Delhi India oll, Dept Surg, New Delhi, India
Titolo Testata:
ANZ journal of surgery
fascicolo: 2, volume: 71, anno: 2001,
pagine: 93 - 97
SICI:
1445-1433(200102)71:2<93:FODOCE>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
LAPAROSCOPIC CHOLECYSTECTOMY; SURGERY; HOSPITALIZATION; PREVALENCE; POPULATION; DISCHARGE; STAY;
Keywords:
ambulatory surgery; day-care surgery; open cholecystectomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Thomas, S C44 Shivalik Colony,Malviya Nagar, New Delhi 110017, India C44 Shivalik Colony,Malviya Nagar New Delhi India 110017 India
Citazione:
S. Thomas et al., "Feasibility of day-care open cholecystectomy: Evaluation in an inpatient model", AUST NZ J S, 71(2), 2001, pp. 93-97

Abstract

Background: Open cholecystectomy is still a fairly frequently performed operation worldwide, and is used where laparoscopic surgery has failed or is contraindicated, and where some surgeons do not operate laparoscopically for technical reasons. In developing countries laparoscopic cholecystectomy is costly and is available only in a few centres. The present study was conducted to assess the feasibility of day-care open cholecystectomy using an inpatient model. Methods: Thirty patients were subjected to open cholecystectomy. Intraoperative nasogastric decompression and local wound infiltration with 0.25% bupivacaine was carried out. Postoperatively patients were encouraged to be ambulant, pass urine and start oral fluids. Intravenous fluids and parenteralmedication were stopped at 8 p.m. when patients were assessed for feasibility far discharge. All patients were reassessed the next morning for any adverse effects that could have occurred had the patients been discharged on the evening of surgery. Results: Prospectively, 73.3% of patients were considered to be dischargeable on the evening of surgery; but on reassessment the next morning, retrospectively, 93.3% of patients were actually dischargeable on the evening of surgery. A total of 76.6% of patients was actually discharged within 24 h of surgery. No patient required readmission. On follow up there were no complications that could be attributable to early discharge. A total of 83.3% of patients approved of day-care open cholecystectomy. Conclusions: Day-care open cholecystectomy is safe and feasible. In developing countries, where the use of laparoscopic surgery is limited due to resource constraints, day-care open cholecystectomy can lead to substantial savings in health-care resources.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 19:39:11