Evaluation of Patient Safety and Satisfaction in a Program of Ambulatory Laparoscopic Cholecystectomy Program With Expanded Criteria

ConclusionsAmbulatory laparoscopic cholecystectomy is a safe procedure with a good acceptance by patients with expanded criteria who were included in the surgery without admission program.ResumenIntroducciónLos buenos resultados obtenidos con la implementación de los programas de colecistectomía laparoscópica ambulatoria han llevado a la ampliación de los criterios iniciales de inclusión. Como objetivo principal planteamos evaluar los resultados y el grado de satisfacción de los pacientes incluidos en un programa de colecistectomía laparoscópica sin ingreso, con criterios expandidos.MétodosEstudio observacional de una cohorte de 260 pacientes intervenidos de colecistectomía laparoscópica ambulatoria entre abril del 2013 y marzo del 2016 en un hospital de tercer nivel. Clasificamos a los pacientes en 2 grupos en función del cumplimiento de los criterios iniciales de inclusión del programa ambulatorio. El grupo I (criterios restrictivos) incluye a 164 pacientes, mientras que, en el grupo II, se incluyen 96 pacientes (criterios expandidos: no cumplían alguno de los criterios de selección). Comparamos el tiempo quirúrgico, la tasa de ingresos no deseados, tasa de conversión, reintervenciones, mortalidad y el índice de satisfacción.ResultadosEl porcentaje global de éxito de la colecistectomía laparoscópica ambulatoria...
Source: Cirugia Espanola - Category: Surgery Source Type: research

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Elective laparoscopic cholecystectomy (LC) pediatric patients in our institution have historically been admitted for an overnight hospital stay (OHS). The purpose of this study was to implement an ERAS protocol for elective LC in pediatric patients to promote same-day discharge (SDD) while maintaining excellent outcomes.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
The objective of this study was to evaluate the impact of resident involvement on surgical outcomes in laparoscopic compared to open procedures.MethodsThe American College of Surgeons National Surgical Quality Improvement Program 2007–2012 was queried for open and laparoscopic ventral hernia repair (VHR), inguinal hernia repair (IHR), splenectomy, colectomy, or cholecystectomy (CCY). Multivariable regression analyses were performed to assess the impact of resident involvement on surgical outcomes.ResultsIn total, 88,337 VHR, 20,586 IHR, 59,254 colectomies, 3,301 splenectomies, and 95,900 CCY were identified. Resident...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Source: International Journal of General Medicine - Category: General Medicine Tags: International Journal of General Medicine Source Type: research
Iatrogenic bile duct injuries (BDIs) are mostly associated with laparoscopic cholecystectomy but may also occur following gastroduodenal surgery or liver resection. Delayed diagnosis of type of injury with an ...
Source: BMC Surgery - Category: Surgery Authors: Tags: Case report Source Type: research
ConclusionsNinety percent of cholecystectomies performed by surgeons at HNSB continue to be OC. The major limitation is the lack of funding to provide sufficient equipment or ancillary staff. The majority of surgeons preferred to perform LC if these problems could be addressed.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
s M Abstract In contrast to gallstones, which are increasingly diagnosed in children and adolescents, congenital or perinatally acquired malformations of the biliary tree are rare entities. The surgical treatment of these diseases frequently represents a technical challenge. For children with biliary atresia Kasai portoenterostomy is a therapeutic option in the first weeks of life. Most affected children, however, require a liver transplantation before they enter adulthood. Segmental dilatations of the bile duct carry the risk of ascending infections and malignant transformation. This requires early...
Source: Der Chirurg - Category: Surgery Authors: Tags: Chirurg Source Type: research
ConclusionDuplicate gallbladder poses a risk for the unique presentation of recurrent cholecystitis despite cholecystectomy. Advanced imaging techniques that demonstrate biliary anatomy can identify duplicate gallbladder perioperatively. For those presenting with disease in any one gallbladder, resection of both is ideal to prevent recurrence of disease.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
As a part of multimodal analgesia for laparoscopic cholecystectomy, both intraoperative lidocaine and esmolol facilitate postoperative analgesia. Our objective was to compare these two emerging strategies that...
Source: BMC Anesthesiology - Category: Anesthesiology Authors: Tags: Research article Source Type: research
Conclusion:The RHAAM can be used to repair biliary segmental defects in pigs, which provides a new idea for the clinical treatment of common bile duct injury.
Source: Tissue Engineering and Regenerative Medicine - Category: Biotechnology Source Type: research
Conditions:   Laparoscopic Surgery;   Pneumoperitoneum;   Cholecystitis; Choledocholithiasis;   Quality of Life;   Postoperative Nausea and Vomiting;   Postoperative Pain;   Satisfaction, Patient Interventions:   Other: Low-pressure pneumoperitoneum;   Other: Standard pressure pneumoperitoneum Sponsor:   Pontificia Universidade Catolica de Sao Paulo Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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