Day case laparoscopic cholecystectomy is feasible

Abstract

Background: Laparoscopic cholecystectomy is the operation of choice for cholelithiasis.

Aims: The aims of our study were to assess the feasibility of day case laparoscopic cholecystectomy (DCLC) in selected patients.

Methods: DCLC was introduced in this unit in July 1999. The first 50 patients were prospectively evaluated up to February 2001.

Results: All patients were under 55 years of age with an ASA grade of I (n = 48) or II (n = 2). The mean age was 41.1 years (range 20-55 years) and the male:female ratio was 1:6. All patients had a standard anaesthetic protocol. Patients were discharged 10 to 12 hours postoperatively with a pro forma, which was reviewed at one week in the clinic. The conversion rate was 2%. Three required overnight admission due to excessive nausea, hypertension and for an unforeseen psychosocial problem. Ninety per cent of patients were suitable for same day discharge. No patient required subsequent readmission.

Conclusion: DCLC is feasible and safe in carefully selected patients and has the advantages of convenience and cost-effectiveness.