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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¿Me puedes recomendar una dieta para después de la extracción de la vesícula? – Mayo Clinic

In recent years it may be safely stated that a major change in the understanding of surgery has taken place with laparoscopic surgery in the late s. All of them satisfied the following criteria: Patients were divided into two groups A and Bdepending on the time when they were discharged.

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.

Hospital 12 de Octubre. All these reasons together with a lack of perception of financial benefits by patients render day-care surgery more difficult to implement and their presence uneven. Its feasibility has been demonstrated in all settings and differing countries with rather similar results Lastly, it is necessary that discharge, and the knowledge of how to continue recovery at home, is accepted by the patient, and instructions to follow must be very clearly laid out for both patients and their families.

Factors of clinical significance which determined discharge after 24 hours included: Incidents and complications arose in 9 patients During the immediate post-operative period, monitoring was maintained in a recovery room; patients were then taken to hospital wards following anesthetic assessment, where normal nursing practices and a follow-up by the surgeon were carried out, the latter being also responsible for hospital discharge.


Statistical analysis was aided by the SPSS program, version Thus, not only has laparoscopy advanced in itself, but traditional techniques have also benefited from greater rigor in outcome studies, and healthy competition has colecistectommia up regarding “lesser invasion” with increasingly small incisions, and shorter stays and postoperative periods, all of which represents great value for patients.

No immediate postoperative incidents arose, and no patient expressed doubt or insecurity on the proposal of being discharged on the same day of surgery.

Colecistectomía laparoscópica y cirugía ambulatoria

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. Anesthesia for laparoscopy with emphasis on outpatient laparoscopy.

Laparoscopic cholecystectomy has cloecistectomia 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.

The importance of these studies is relative when compared to downpouring experience pointing that laparoscopy provides a far more benign immediate postoperative time. For a group of patients it will not be the suitable technique due to medical reasons; laparoscopca another, much more varying group of patients it will not be feasible because of social reasons. Perhaps traditional culture has to be changed to obtain better results.

Mean discharge time was 10 hours after the procedure. Cir Esp ; Postgrad Med J ; Lau H, Brooks DC.

Criteria necessary for inclusion in this program of outpatient laparoscopic cholecystectomy included: 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 colecistectonia when compared to a DSU.


The level of complexity of procedures that can be carried out in a DSU is increasing. Lau H, Brooks DC. We analyse the clinical and surgical characteristics and post-operative outcome of both groups of patients. World J Surg ; One group performed the procedure habitually and on an outpatient basis in most cases, whereas the other group performed the technique rather sporadically among their scheduled standard procedures.

In any case LC is no doubt an excellent procedure, currently the gold-standard in the treatment of symptomatic cholelithiasis, which may be performed as MOS in a high number of patients. Outcomes were significantly better in the first group, whose procedures were seen to be also more deeply standardized.

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In general, events emerging in the early postoperative period can be considered a statistically significant determinant for patient admission. J Clin Nurs ; Andalusian Health Service from a surgical waiting list. Whereas Vieira et al. Indeed, the linking of technologic development circumstances to the will of a number of surgeons to offer less damaging surgery led to the notion of laparoscopicaa aggressive surgery”, in which laparoscopic surgery is paradigmatic.

Colecistecgomia cholecystectomy in the treatment of biliary lithiasis: Cir Esp ; An experience that is not uncommon in daily practice involves patients who are admitted with acute pancreatitis in whom no lithiasic condition is seen, and who are therefore referred to the Gastroenterology Unit for an etiologic study.

Rico Selas and A. Ann Surg ; Rev Esp Enferm Dig ; A prospective, randomized, single-blind study. Anyway, patients preoperatively labeled as having alithiasic cholecystopathies are overall excellent candidates to outpatient LC, at least regarding a lower likeliness of complicated surgical procedures.