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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All these patients were potential candidates for outpatient treatment. Two patients presented a complication derived from surgery.
Colecistectomía laparoscópica y cirugía ambulatoria
Compared to inpatient surgery, it reduces the time a patient spends in hospital and therefore entails less interference in daily and working life 4. A prevention of such incidents is the best way to avoid hospital stays.
However, in the Spanish health-care system, which is in need of public beds in most regions, reductions in the hospitalization stay are also important besides savings, so that beds may be put to good use for other patients, which may be achieved via MOS programs including well trained teams in outpatient LC for feasible cases.
Laparoscopic cholecystectomy was carried out in all cases following the European technique. The aim of the present study was colecistecyomia analyse clinical and surgical factors in patients who underwent laparoscopic cholecystectomy in a DSU, which could be determinants in deciding to discharge patients on the same day of the procedure DSU programme or colecistetcomia discharge them after 24 hours of hospital stay SSS Unit.
How-ever, regardless of what surveys on satisfaction and perceived service quality indicate, discharging less than 24 hours after the procedure does not decrease quality or imply a greater number of complications in the following month. 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.
Patients’ experiences of laparoscopic cholecistectomy in day surgery. The term DSU combines processes complementary to surgery performed using any type of anesthesia that require less intensive postoperative care and are of short duration; therefore patients do not need to stay in the hospital and can be discharged a few hours after the procedure 1.
Laparoscopic cholecystectomy in the treatment of biliary lithiasis: For a DSU program to be implemented, the following conditions are necessary: Also relevant are the availability of a functioning well-developed follow-up system 17including complication identification via colecisgectomia telephone and their solution by a surgeon.
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Rev And Pat Digest ; Value of measuring gallbladder motility in clinical practice. Service of General Surgery and Digestive Diseases. Recently, Oteiza et al. Outcomes were significantly better in the first group, whose procedures were seen to be also more deeply standardized. We analyse the clinical and surgical characteristics and post-operative outcome of both groups of patients.
Quality of life GIQLI and cplecistectomia cholecystectomy usefulness in patients with gallbladder dysfunction or chronic non-lithiasic biliary pain chronic acalculous cholecystitis.
This is, in our view, a scarcely mentioned benefit of daily-care LC, since a significant improvement in procedural quality most likely occurs through the specialization of team members and the careful care needed for early colecistectlmia. Lau H, Brooks DC. Within a month of the procedure, only one patient had diarrhea.
We are entering into what is known as a SSS, which may carry out surgical procedures with hospital stays between one and three days using hospital resources for the least time possible 5although with greater financial cost when compared to a DSU. Laparoscopic surgery entailed a number of nowadays universally accepted benefits for patients.
We conclude that outpatient laparoscopic cholecystectomy is a safe and reliable procedure with a high level of acceptance. Rev Esp Anestesiol Reanim ; 43 8: Andalusian Health Service from a surgical waiting list. Anyway, patients preoperatively labeled as having alithiasic cholecystopathies are overall excellent candidates to outpatient LC, lsparoscopica least regarding a lower likeliness of complicated surgical procedures.
Service of General, Digestive and Transplant Surgery. After a variable lapse of time, and following new pancreatitis episodes, a percentage of these patients are sent back upon detection or suspicion of lithiasis in tests performed. Its feasibility has been demonstrated in all settings and differing countries with rather similar results Similarly, a small number of failures from intra- or postoperative complications exist, which will diminish as experience is gain-ed in both patient selection and surgical, anesthetic and nursing management scheduling.
Rico Selas and A.
¿Me puedes recomendar una dieta para después de la extracción de la vesícula? – Mayo Clinic
Contemporary outcomes of ambulatory laparoscopic cholecystectomy in a major teaching hospital. 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.
To evaluate the latter point it is necessary to focus on morbidity markers and quality as perceived by patients 8. In fact, initial distrust regarding this way of surgery has led to a careful analysis of its results which we are convinced was unparalleled before for surgical techniques. Surg Endosc ; Br J Surg ; The latter authors reported in on their experience along 4 years of outpatient LC in this same journal 5and were understandably considered a pioneer group for LC in MOS in our country.