scholarly journals Predictive factors of difficult procedure in octogenarians undergoing elective laparoscopic cholecystectomy: a single center experience

2016 ◽  
Author(s):  
F Guida
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Predictive Factors ◽  
Single Center ◽  
Single Center Experience ◽  
Difficult Procedure ◽  
Elective Laparoscopic Cholecystectomy

scholarly journals AMBULATORY LAPAROSCOPIC CHOLECYSTECTOMY IS SAFE AND COST-EFFECTIVE: a Brazilian single center experience

2016 ◽  
Vol 53 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Uirá Fernandes TEIXEIRA ◽  
Marcos Bertozzi GOLDONI ◽  
Mayara Christ MACHRY ◽  
Pedro Ney CECCON ◽  
Paulo Roberto Ott FONTES ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Selection Criteria ◽  
Outpatient Surgery ◽  
Gallstone Disease ◽  
Cost Savings ◽  
Cost Effective ◽  
Single Center ◽  
Single Center Experience ◽  
Elective Laparoscopic Cholecystectomy ◽  
Liver Biopsies

ABSTRACT Background - Laparoscopic cholecystectomy is the treatment of choice for gallstone disease, and has been perfomed as an outpatient surgery in many Institutions over the last few years. Objective - This is a retrospective study of a single center in Brazil, that aims to analyze the outcomes of 200 cases of ambulatory laparoscopic cholecystectomy performed by the same Hepato-Pancreato-Biliary team, evaluating the safety and cost-effectiveness of the method. Methods - Two hundred consecutive patients who underwent elective laparoscopic cholecystectomy were retrospectively analyzed; some of them underwent additional procedures, as liver biopsies and abdominal hernias repair. Results - From a total of 200 cases, the outpatient surgery protocol could not be carried out in 22 (11%). Twenty one (95.5%) patients remained hospitalized for 1 day and 1 (4.5%) patient remained hospitalized for 2 days. From the 178 patients who underwent ambulatory laparoscopic cholecystectomy, 3 (1.7 %) patients returned to the emergency room before the review appointment. Hospital cost was on average 35% lower for the ambulatory group. Conclusion - With appropriate selection criteria, ambulatory laparoscopic cholecystectomy is feasible, safe and effective; readmission rate is low, as well as complications related to the method. Cost savings and patient satisfaction support its adoption. Other studies are necessary to recommend this procedure as standard practice in Brazil.

Single-Center Experience of Laparoscopic Cholecystectomy

2007 ◽  
Vol 17 (5) ◽  
pp. 608-614 ◽  
Author(s):  
Chinnusamy Palanivelu ◽  
Kalpesh Jani ◽  
Gobi S. Maheshkumar
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Center ◽  
Single Center Experience
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