Colecistectomía laparoscópica en régimen de cirugía mayor ambulatoria en un hospital comarcal: resultados iniciales de una serie de 110 casos

Pérez, María Ángeles Lezana; Villarreal, Guillermo Carreño; Pérez, Raquel Fresnedo; Cumplido, Paola Lora; Álvarez, Helena Padín; Obregón, Raúl Álvarez

doi:10.1016/j.ciresp.2010.03.001

Cited by 12 publications

(1 citation statement)

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“…Our study shows that LC was suitable as a day surgery procedure in 92%, which was higher than in other outpatient LC studies. [ 17 18 ] There were no significant differences between SILC and LC groups.…”

Section: Discussionmentioning

confidence: 93%

Single-incision versus four-port laparoscopic cholecystectomy in an ambulatory surgery setting

Subirana

Rey

Barri

et al. 2021

Journal of Minimal Access Surgery

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Background: Single-incision laparoscopic cholecystectomy (SILC) can be done as a day-case procedure and may have advantages over conventional laparoscopic cholecystectomy (LC). We present the results of our study looking at post-operative pain and post-operative recovery time. Methods: This was a single-institution randomised double-blind controlled trial. Seventy-three patients with symptomatic cholelithiasis were randomized to SILC ( n = 37) or LC ( n = 36). The primary endpoint was to compare post-operative pain. We also compared surgical time, procedural difficulty, adverse events, additional ports used and conversion rate, success of day surgery process, return to work, aesthetic satisfaction, quality of life and 4-year incisional hernia rate. Results: In the SILC group, post-operative analgesic requirements were lower on day 7, there was an earlier return to work and cosmetic satisfaction was significantly higher. The SILC procedure presented a higher technical difficulty. Operative time, surgical complications, post-operative pain, success of the day-case process, return to normal activity, quality of life scores and incisional hernia rates were similar for both the procedures. Conclusions: SILC has advantages over LC in terms of late post-operative analgesic requirements and aesthetic results; however, it is technically harder to perform. There was no benefit in terms of day surgery outcomes.

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Section: Discussionmentioning

confidence: 93%