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Issue 9
Sep.  2011
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Article Navigation >  Journal of Clinical Hepatology  > 2011  >  27(9): 912-915

The analysis of 1240 cases of laparoscopic cholecystectomy performed during the day time

  • Received Date: 2011-03-09
  • Published Date: 2011-09-20
    Abstract
  • Objective To explore the feasibility and safety of day surgery laparoscopic cholecystectomy (LC/DS) , and to evaluate the outcome of LC/DS in aged patients (more than 65 years) .Methods 1240 patients undergoing LC/DS in our hospital between November 2009 and December 2010 were retrospectively studied.The complications and reasons of delayed discharge and readmission were analyzed.The treatment effectiveness of LC/DS in aged patients was compared with that of patients younger than 65 years.Results Among 1240 patients of LC/DS group, 1236 cases were preformed by LC and 4 cases were conversd to laparotomy (0.32%) .Complications were developed in six cases (0.48%) .125 (10.1%) patients were not discharged within 24 hours of the operation, among whom 49 (39.2%) refused discharge for psychological factor, 34 (27.2%) for postoperative omitting and abdominal pain.15 patients were readmitted, among whom 8 cases were unexpected gallbladder carcinomas.There was no significant complications in aged patients.The satisfaction rate has no difference compared with that of patients younger than 65 years (P>0.05) , while rate of delayed discharge and readmission rate in aged patients group was higher than in patients younger than 65 years (P<0.01) .Conclusion The day surgery laparoscopic cholecystectomy is feasibile and safe, the day surgery procedure is also suitable for selected aged patients.Psychological factor, postoperative vomitting and abdominal pain are the main causes of delayed discharge.

     

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    • References(50)
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