Meta-analysis of randomized controlled trials on the safety and effectiveness of day-case laparoscopic cholecystectomy

Gurusamy, Kurinchi Selvan; Junnarkar, Sameer P; Farouk, Marwan; Davidson, Brian R

doi:10.1002/bjs.6105

Cited by 166 publications

(92 citation statements)

References 53 publications

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“…Laparoscopic cholecystectomy performed safely in an ambulatory setting has become widely popular and accepted [19,20]. Our LOS was primarily 1-2 days, with more than half of the patients discharged in the ambulatory setting.…”

Section: Discussionmentioning

confidence: 99%

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

et al. 2010

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Background An important aspect of a new surgical technique is whether it can be performed by other surgeons in other institutions. The authors report the first 297 cases in a multi-institutional and multinational review of laparoscopic cholecystectomy performed via a single portal of entry. Methods Data were collected retrospectively for the initial patients undergoing single-port cholecystectomy by 13 surgeons who performed these procedures in their institutions after training by the authors. The review included operative time, blood loss, incision length, length of hospital stay (LOS), necessary additional trocars, and other parameters important to cholecystectomy. A database of all the single-port-access (SPA) surgeries performed by the surgeons included demographic and procedural details, LOS, complications, and initial follow-up data. Results To date, 297 single-port cholecystectomies have been performed for a variety of diagnoses, primarily cholelithiasis. The average operative time was 71 min, and the average LOS was 1-2 days. The average blood loss was minimal. The use of additional port sites outside the umbilicus occurred in 34 of the cases. Of the 35 intraoperative cholangiograms performed, 34 were successful. No significant complications occurred except for seromas and minor postoperative wound infections. These results are comparable with those for standard multiport cholecystectomy. In addition, no access site hernias (ASH) occurred. SPATM is a Trademark

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Section: Discussionmentioning

confidence: 99%

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

et al. 2010

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“…Despite the available evidence relating to the safety of day-case LC, little is known as to the feasibility of its introduction in the UK population. 8 Our day-case unit had never performed a laparoscopic procedure prior to the commissioning of this service. The provision of adequate staff education and training prior to full LC introduction is essential to the success of the service.…”

Section: Discussionmentioning

confidence: 99%

Introduction of a Day-Case Laparoscopic Cholecystectomy Service in the UK: A Critical Analysis of Factors Influencing Same-Day Discharge and Contact with Primary Care Providers

Briggs

Irving

Mann

et al. 2009

annals

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INTRODUCTION The objective of this study was to determine the safety and acceptability of the implementation of a day-case laparoscopic cholecystectomy (LC) service in a large UK teaching hospital, and analyse factors influencing contact with primary care providers. Wide-spread introduction of day-case LC in the UK is a major target of healthcare providers. However, few centres have reported their experience. In the US, out-patient surgery for LC has been reported, though many groups have utilised 24-h observation units to facilitate discharge. Concerns remain amongst surgeons regarding the feasibility and acceptability of the introduction of day-case LC in the UK. PATIENTS AND METHODS Comprehensive care and operative data were prospectively collected on the first 106 consecutive day-case procedures in our hospital. Postoperative recovery was monitored by telephone questionnaire on days 2, 5 and 14, including complications, satisfaction and general practitioner consultation. RESULTS A total of 106 patients were admitted for day-case LC, of whom 84% were discharged on the day of surgery. Patient satisfaction rate was 94% in both the successful day-case and the admitted patients. Mean operation time was 62 min, with an average total stay on the day-care unit of 426 min. Training-grade surgeons performed 31% of operations. Both the re-admission rate after surgery and rate of conversion to open surgery were 2%. Advice from primary healthcare providers was sought by 33% of patients within the first 14 postoperative days. CONCLUSIONS Introduction of day-case LC in the UK is feasible and acceptable to patients. The potential burden to primary care providers needs further study.

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“…Improvements in anaesthetics and increased surgeons laparoscopic experience have encouraged surgeons to perform LC as an elective outpatient procedure with only a few hours' hospital stay post-surgery. Many studies and literature reported the effectiveness and safety of ambulatory LC in selected patients, with reduced cost and high level of patient satisfaction [12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy as a day surgery operation: two centers experience.

Ghnnam¹,

Ellatif²,

Elbeshry³

et al. 2017

Int J Surg Med

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Background: Day-surgery, laparoscopic cholecystectomy (DSLC) becomes the standard management of chronic gall bladder diseases worldwide due to its safety and feasibility. The aim of our study was to assess DSLC at two secondary care governmental hospitals in Saudi Arabia with a separate day-surgery unit regarding complications, same-day discharge, to identify problems associated with the early discharge, and determine the degree of patient satisfaction. Methods: Over a 3-years period, all patients undergoing elective laparoscopic cholecystectomy under the authors were prospectively studied. All patients were asked on following up post-operatively about their satisfaction and recommendation of DSLC for their relatives and friends. Results: Eight hundred and sixteen patients underwent elective day surgery laparoscopic cholecystectomies, predominantly female (89.7%) and ASA I (77.2%) with a mean age 38.1 2 18.7 years. Eighty-eight percent of patients were discharged directly from the day surgery unit, and further 1.6% of patients (so nearly 89.6% of the patients) were discharged within 24 hours from the operation. Readmission following hospital discharges was necessary for three patients (0.37%). The overall rate of complications were 1.35% (11patients). At follow-up, 701 patients (97.36%) were satisfied with their experience undergoing DSLC. Conclusions: Our findings confirmed that DSLC is safe and feasible. Many patients showed high satisfaction with their length of stay and day surgery ward care although we extend the criteria for DSLC.

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Meta-analysis of randomized controlled trials on the safety and effectiveness of day-case laparoscopic cholecystectomy

Cited by 166 publications

References 53 publications

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

Introduction of a Day-Case Laparoscopic Cholecystectomy Service in the UK: A Critical Analysis of Factors Influencing Same-Day Discharge and Contact with Primary Care Providers

Laparoscopic cholecystectomy as a day surgery operation: two centers experience.

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