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

Journal of minimal access surgery.

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

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