Document Type
Article
Department
Surgery; General Surgery
Abstract
BACKGROUND:
Laparoscopic cholecystectomy (LC) is the most commonly performed minimal invasive surgery. However, practice of its use as an ambulatory surgery in our hospital settings is uncommon.
OBJECTIVE:
To evaluate safety and cost effectiveness of LC as an ambulatory day care surgery.
STUDY DESIGN:
Quasiexperimental.
SETTING:
Department of surgery, Aga Khan University Hospital, Karachi, Pakistan. MATERIALS AND METHODS:
Patients with uncomplicated symptomatic gallstones were selected for Ambulatory LC. They were admitted electively on the same day and operated on in the morning hours and discharged after a check by the surgeon 6–8 hrs later. RESULTS:
Of fifty (n = 50) patients selected for ambulatory LC, 92% were discharged successfully after 6–8 hrs observation. No significant perioperative complications were noted. Unplanned admission and readmission rate was 8 and 2%, respectively. Cost saving for the daycare surgery was Rs. 6,200, Rs. 13,300, and Rs.22,800 per patient as compared to in patient general, semiprivate, and private ward package, respectively.
CONCLUSION:
Practice ambulatory LC is safe and cost-effective in selected patients with uncomplicated symptomatic gallstones.
Publication (Name of Journal)
Journal of minimal access surgery.
Recommended Citation
Ali, A.,
Chawla, T.,
Jamal, A.
(2009). Ambulatory laparoscopic cholecystectomy: Is it safe and cost effective?. Journal of minimal access surgery., 5(1), 8-13.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_dent_oral_maxillofac/88
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