Acta clinica Croatica, Vol. 57. No. 4., 2018.
Original scientific paper
https://doi.org/10.20471/acc.2018.57.04.09
Discharge after Elective Uncomplicated Laparoscopic Cholecystectomy: Can the Postoperative Stay Be Reduced?
Goran Glavčić
; Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Mario Kopljar
; Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Mario Zovak
; Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Dubravka Mužina-Mišić
; Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Abstract
The aim of the study was to reevaluate the safety and feasibility of discharge 24 h after elective uncomplicated laparoscopic cholecystectomy. Since the introduction of laparoscopic cholecystectomy in our hospital, the minimum postoperative stay was considered to be two days based on surgeons’ experience. The study included 337 operations performed by 21 surgeons during 2016 in the Sestre milosrdnice University Hospital Centre. Conversion to open technique and cases of acute cholecystitis were excluded, while 15 patients had insufficient postoperative data. The mean length of stay was 2.38 (range 1 to 6) postoperative days, median two postoperative days. Serious complications involving suspected drain bile leakage and postoperative hemorrhage occurred in two (0.59%) patients, both in the first 24 h following surgery. One patient required emergency laparotomy on the first postoperative day. Readmission rate was 1.2%. The postoperative minor complication rate was 42 of 337 (12.46%); these included wound infections, urinary tract infections, symptoms included in postcholecystectomy syndrome, etc. The onset of these complications was mostly after postoperative day 3. The data obtained suggest that discharge on the first postoperative day after elective uncomplicated laparoscopic cholecystectomy should be considered safe and can be practiced in our hospital.
Keywords
Cholecystectomy, laparoscopic; Patient discharge; Length of stay; Postoperative complications; Health care costs; Croatia
Hrčak ID:
217820
URI
Publication date:
1.12.2018.
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