Day case laparoscopic cholecystectomy in patients with high BMI: Experience from a UK centre

Tandon, Abhinav; Sunderland, G. T.; Nunes, Quentin; Misra, Nikhil; Shrotri, M

doi:10.1308/rcsann.2016.0125

Cited by 20 publications

(18 citation statements)

References 32 publications

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“…Our results showed that age was not associated with a longer hospital stay. In addition, our results also showed that gender, BMI [ 23 , 24 ], previous upper intra-abdominal surgery history, surgeons' status, thickened gallbladder wall, and the presence of adhesions were not associated with delayed hospital stay.…”

Section: Discussionsupporting

confidence: 58%

Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy

Ko-iam

Sandhu

Paiboonworachat

et al. 2017

International Journal of Hepatology

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Background. Although the advantages of laparoscopic cholecystectomy (LC) over open cholecystectomy are immediately obvious and appreciated, several patients need a postoperative hospital stay of more than 24 hours. Thus, the predictive factors for this longer stay need to be investigated. The aim of this study was to identify the causes of a long hospital stay after LC. Methods. This is a retrospective cohort study with 500 successful elective LC patients being included in the analysis. Short hospital stay was defined as being discharged within 24 hours after the operation, whereas long hospital stay was defined as the need for a stay of more than 24 hours after the operation. Results. Using multivariable analysis, ten independent predictive factors were identified for a long hospital stay. These included patients with cirrhosis, patients with a history of previous acute cholecystitis, cholangitis, or pancreatitis, patients on anticoagulation with warfarin, patients with standard-pressure pneumoperitoneum, patients who had been given metoclopramide as an intraoperative antiemetic drug, patients who had been using abdominal drain, patients who had numeric rating scale for pain > 3, patients with an oral analgesia requirement > 2 doses, complications, and private ward admission. Conclusions. LC difficulties were important predictive factors for a long hospital stay, as well as medication and operative factors.

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Section: Discussionsupporting

confidence: 58%

Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy

Ko-iam

Sandhu

Paiboonworachat

et al. 2017

International Journal of Hepatology

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“…With regard to the Body Mass Index, a study conducted in the United Kingdom, which included patients with obesity and morbid obesity submitted to outpatient videolaparoscopic cholecystectomy (n=571), found an increase in the Body Mass Index associated with an increase in the infection rate (16) , which differs from this study, as there was no association.…”

Section: Discussioncontrasting

confidence: 99%

Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

et al. 2019

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Objective: identify the occurrence and risk factors related with surgical site infection in patients submitted to videolaparoscopic cholecystectomy. Methods: descriptive study developed at a private hospital, involving 118 patients. For the data collection, a tool was elaborated that was submitted to face and content validation. For the data analysis, the software Statistical Package for the Social Sciences was used. Results: the occurrence of infection amounted to 5.9% (n=7). The cases were diagnosed during post-discharge surveillance. The results showed no statistically significant difference between the research variables and the presence of surgical site infection (bivariate analysis). Conclusion: at the place of study, the occurrence of surgical site infection was high, without an association between the research factors and the presence of this type of infection.

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“…Figure 1 shows the modified PRISMA flowchart for identification and inclusion of relevant papers. Twentythree studies were excluded from the meta-analysis; 10 papers were deemed low quality [53][54][55][56][57][58][59][60][61] and 13 papers did not provide readmission rates specific to LC [62][63][64][65][66][67][68][69][70][71][72][73][74].…”

Section: Resultsmentioning

confidence: 99%

Readmission to hospital following laparoscopic cholecystectomy: a meta-analysis

McIntyre¹,

Johnston²,

Foley³

et al. 2020

ait

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Biliary disease and cholecystitis remain one of the most significant surgical challenges. Over 1,000,000 cholecystectomies are performed in the US every year [1, 2], and over 50,000 in the UK [3]. While minimally invasive laparoscopic cholecystectomy (LC) has afforded great advantages over open cholecystectomy, reducing variability and improving outcomes remains a challenge [4, 5]. It is only recently that operative classifications and grading of cholecystitis have been published [6]. LC related peri-operative complications, while infrequent may

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Day case laparoscopic cholecystectomy in patients with high BMI: Experience from a UK centre

Cited by 20 publications

References 32 publications

Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy

Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy

Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

Readmission to hospital following laparoscopic cholecystectomy: a meta-analysis

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