Author:
Campbell Matthew,Ng Daniel,Albatat Batool,Lowen Darren,Bird David,Hodgson Russell
Abstract
Objective: Many laparoscopic cholecystectomy operations are performed with at least overnight admission. Current research shows that laparoscopic cholecystectomy is safe and feasible to do as a day case. Patient centred outcomes are less well understood.
Material and Methods: Elective laparoscopic cholecystectomy patients at a single metropolitan hospital in Melbourne, Australia were surveyed 24 hours after surgery using the 15-question Quality of Recovery (QoR-15) survey. A comparison was made between day case surgeries and multi-day surgeries.
Results: One hundred and eight patients were recruited consisting of 34 day case and 74 multi-day patients. Patient groups did not differ in terms of age, sex or postoperative morbidity. The multi-day group had a higher proportion of comorbid patients (p-value = 0.03). There was no significant dif- ference in overall QoR-15 score between the two groups, although there was an observed trend towards a higher score in the day case group (132.0 vs 127.9, p= 0.147). QoR-15 individual question results showed that day cases rated significantly better for sleep quality and for less feelings of anxiety or worry. The differences narrowed when comparing patient groups as they were booked (intention-to-treat). There were no identified sub-groups that had a significantly higher score if admitted multi-day.
Conclusion: Quality of recovery following day case laparoscopic cholecystectomy is just as good, if not better, than multi-day cases. Laparoscopic cholecystectomy as a day case is both safe and economically superior to multi-day management. This gives further weight to current recommendations suggesting that the majority of laparoscopic cholecystectomy operations could be performed as day cases.
Publisher
Turkish Journal of Surgery
Reference24 articles.
1. Watters D. Clinical Variation: Procedure in profile: Laparoscopic cholecystectomy. Surgical News 2016; 17: 38. Available from: https:// umbraco.surgeons.org/media/1415/art-2016-04-01-surgical-newsapril-for-web.pdf (Accessed date: 16th of November 20). [CrossRef]
2. Briggs CD, Irving GB, Mann CD, Cresswell A, Englert L, Peterson M, et al. 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. Ann R Coll Surg Engl 2009; 91(7): 583-90. [CrossRef]
3. Ismail S, Ahmed A, Hoda MQ, Sohaib M, Rehman Zia-Ur. Prospective survey to study factors which could influence same-day discharge after elective laparoscopic cholecystectomy in a tertiary care hospital of a developing country. Updates Surg 2016; 68(4): 387-93. [CrossRef]
4. Ahn Y, Woods J, Connor S. A systematic review of interventions to facilitate ambulatory laparoscopic cholecystectomy. HPB (Oxford) 2011; 13(10): 677-86. [CrossRef]
5. Lau H, Brooks DC. Contemporary outcomes of ambulatory laparoscopic cholecystectomy in a major teaching hospital. World J Surg 2002; 26(9): 1117-21. [CrossRef]
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献