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Feasibility and safety of day-surgery laparoscopic cholecystectomy : a single-institution 5-year experience of 1140 cases
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Type
Academic journal
Author
Saud Al-Omani (Prince Sultan Military Medical City) Helayel Almodhaiberi (Prince Sultan Military Medical City,) Bander Ali (Prince Sultan Military Medical City) Abdulrahman Alballa (Prince Sultan Military Medical City) Khalid Alsowaina (Prince Sultan Military Medical City) Ibrahim Alhasan (Prince Sultan Military Medical City)
Journal
The Korean Association of HBP Surgery Annals of Hepato-Biliary-Pancreatic Surgery Vol.19 No.3 KCI Accredited Journals
Published
2015.8
Pages
109 - 112 (4page)

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Feasibility and safety of day-surgery laparoscopic cholecystectomy : a single-institution 5-year experience of 1140 cases
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Backgrounds/Aims: We report our experience with day-surgery laparoscopic cholecystectomy and assess its feasibility and safety. Methods: Data was collected on all the patients who underwent day-surgery laparoscopic cholecystectomy between February 2009 and February 2014 at Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. All patients had symptomatic cholelithiasis that was proven on imaging studies with clearance of the common bile duct. The patient biographical data (age, gender, American Society of Anaesthesiology status, medical comorbidities) and surgical outcomes were then obtained. There was an evaluation of the success rate of day-surgery laparoscopic cholecystectomy, reasons for unexpected admission, and the re-admission rate. Results: A total of 1,140 patients were included in this study. The success rate for day-surgery laparoscopic cholecystectomy was 96%. The reasons for unexpected hospital admission for 46 patients (4%) included persistent abdominal pain and postoperative emesis. The postoperative re-admission rate was 0.4% (5 patients). There were no major complications, and the conversion rate was 0.5% (6 patients). Conclusions: We suggest that day-surgery laparoscopic cholecystectomy is both safe and feasible in a local setting. Careful patient selection is essential in ensuring a high success rate.
#Laparoscopic cholecystectomy #Ambulatory surgery #Day surgery

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INTRODUCTION
MATERIALS AND METHODS
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DISCUSSION
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