Outpatient laparoscopic cholecystectomy and pain control: a series of 100 cases.

Abstract

INTRODUCTION:

We present our experience of 100 consecutive cases that underwent ambulatory cholecystectomy using a standard protocol of anesthesia and surgery.

PATIENTS AND METHOD:

Prospective study of 100 consecutive patients assessed in the surgery outpatient clinic in Torrevieja Hospital (September 2008-september 2009). Both anesthetic and surgical techniques were protocolized, standardized. The protocol included the use of intraperitoneal and parietal anesthesia.

RESULTS:

One hundred patients were included. Average age was 53 years and average surgical time was 29±12 min. Day-case surgery rate was 96%. Postoperative pain (VAS scale) was less than 4 in all cases. Six patients complained of nausea that eased with the administration of ev metoclopramide. Average length of stay in the day-case surgery unit was 7.4h (maximum 9.6, minimum 7). Morbidity and mortality rates were 0%. No re-admission was registered and conversion rate was 0%. Postoperative follow-up was 100%. A total of 97% of the cases were fully satisfied with the procedure.

CONCLUSION:

Ambulatory laparoscopic cholecystectomy is a feasible and safe technique. Postoperative pain has classically been the reason to not perform day-case surgery, but we achieved an excellent control by the combined use of local anesthetics and warm intraperitoneal saline solution.

• Authors: Montiel Jiménez Fuertes, David Costa Navarro
• Journal: Cirugia espanola (Cir Esp) Vol. 93 Issue 3 Pg. 181-6 (Mar 2015) ISSN: 1578-147X [Electronic] Spain
• PMID: 24629917 (Publication Type: Journal Article)
• Copyright: Copyright © 2013 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

Topics

• Aged
• Ambulatory Surgical Procedures
• Anesthesia
• Cholecystectomy, Laparoscopic (methods)
• Female
• Humans
• Male
• Middle Aged
• Pain, Postoperative (prevention & control)
• Prospective Studies