Safety and Effectiveness of Day Case Laparoscopic Cholecystectomy in a Teaching Hospital

Authors

  • Mohammad Salahuddin Faruque Assistant Professor, Department of Urology, BSMMU, Dhaka
  • Md Aminul Islam Joarder Assistant Professor, Department of Surgery, SSMCMH, Dhaka
  • Samia Mubin Medical Officer, Department of Surgery, BSMMU, Dhaka
  • Nur E Elahi Medical Officer, Department of Surgery, BSMMU, Dhaka

DOI:

https://doi.org/10.3329/jss.v18i1.43747

Keywords:

Outpatient Surgery, Laparoscopic cholycystectomy

Abstract

Background: Evaluation of the safety and efficacy of day case laparoscopic cholecystectomy in a teaching hospital may influence the rationale of this practice to gain widespread acceptance.

Methods: Day case laparoscopic cholecystectomy was offered to patients during a two and a half year period (Jan 2010 - July 2012) in Minimally Invasive Surgery unit in BSMMU who met the following established inclusion criteria: ASA (American Society of Anesthesiology) physical status classification classes I and II; age: 18 - 70 years; body mass index (BMI) < 30 kg/m2; patient acceptance and cooperation (informed consent). Acute cholecystitis was considered as an exclusion criterion. Follow-up was done by clinical examination on an outpatient basis one week and 3 months after operation. Evaluation was done about success rates, postoperative outcome (complications, readmissions, morbidity and mortality) and patient's overall satisfaction.

Results: 40 consecutive patients, predominantly female (62.5%) and ASA II (75%) with a mean age 44 ± 13.3 years underwent cholycystectomy. 85% patients had symptomatic gallstone disease. Mean operating time was 45±15.1 minutes and no conversion was needed. 25% cases experienced post operative nausea and vomiting and all patients were discharged in the following morning. 20% developed minor complications that resolved spontaneously. 1 case was readmitted and overall patient satisfaction rate was 90%.

Conclusions: This study suggested that day case laparoscopic cholecystectomy is clinically effective and can be performed safely in a teaching hospital by competent surgeon.

Journal of Surgical Sciences (2014) Vol. 18 (1) : 15-19

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Published

2019-10-31

How to Cite

Faruque, M. S., Joarder, M. A. I., Mubin, S., & Elahi, N. E. (2019). Safety and Effectiveness of Day Case Laparoscopic Cholecystectomy in a Teaching Hospital. Journal of Surgical Sciences, 18(1), 15–19. https://doi.org/10.3329/jss.v18i1.43747

Issue

Vol. 18 No. 1 (2014)

Section

Original Articles

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