Outpatient laparoscopic laser cholecystectomy

Day-Case Laparoscopic Cholecystectomy: Is it a Safe and Feasible Procedure?

“…Robinsons et al (10) reported their experience in a public academic institution have achieved outpatient LC in 70% of an unselected patients and they have identified ASA classification, procedural duration and surgery start time as factor associated with failure of outpatient management. Some authors have come to the conclusion that appropriate patients selection lowers failure rate and patients most likely to fulfill the criteria of outpatient LC, who have an anesthetic preoperative classification of ASA grade I or II, with no previous abdominal surgery no history of acute cholecystitis and a procedural duration of shorter than 90 min (11)(12)(13). Our univariate analysis results confirmed that patients with age less than 60 years, ASA class 2 or below, and uncomplicated gallstones and disorders were suitable for outpatient LC.…”

Outpatient laparoscopic cholecystectomy: A new gold standard for cholecystectomy?

“…This percentage in the analyzed series is around 1-39%, mainly due to postoperative symptoms (vomiting and abdominal pain), the elective conversion to open surgery, and patient insecurity (13). Some authors have come to the conclusion that patients most likely to fulfill the criteria of outpatient LC are those who have an anesthetic preoperative classification of ASA I or II, with no previous abdominal surgery, no history of acute cholecystitis episodes, and a procedure duration shorter than 90 minutes (3,14,16).…”

“…Reddick and Olsen contributed the concept of ambulatory LC in 1990 (3). In our country several groups have been pioneers in this type of surgery (4)(5)(6).…”

De la colecistectomía laparoscópica a la hepatectomía laparoscópica: 30 años de evolución quirúrgica en beneficio del paciente

“…Esta técnica fue muy conocida como la cirugía con láser. Posteriormente, se dieron cuenta de que no era necesario utilizarlo, pero los pacientes en su imaginario todavía siguen mencionando "la cirugía con láser para la vesícula" 31 .…”