Application and Evaluation of Day Care Laparoscopic Cholecystectomy

Yong HOU; Fan CAO; Jiangpin XU; Hongan CHEN; Xia ZHANG; Anshu XU

doi:10.12259/j.issn.2095-610X.S20240825

Volume 45 Issue 8

Aug. 2024

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Yong HOU, Fan CAO, Jiangpin XU, Hongan CHEN, Xia ZHANG, Anshu XU. Application and Evaluation of Day Care Laparoscopic Cholecystectomy[J]. Journal of Kunming Medical University, 2024, 45(8): 174-181. doi: 10.12259/j.issn.2095-610X.S20240825

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Yong HOU, Fan CAO, Jiangpin XU, Hongan CHEN, Xia ZHANG, Anshu XU. Application and Evaluation of Day Care Laparoscopic Cholecystectomy[J]. Journal of Kunming Medical University, 2024, 45(8): 174-181. doi: 10.12259/j.issn.2095-610X.S20240825

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Application and Evaluation of Day Care Laparoscopic Cholecystectomy

doi: 10.12259/j.issn.2095-610X.S20240825

Minimally Invasive Hepatobiliary Surgery，Qujing 1st People’s Hospital，Qujing Yunnan 655000，China

Received Date: 2023-06-25
Available Online: 2024-07-06
Publish Date: 2024-08-25

Abstract

Abstract

Objective To analyze and discuss the safety and feasibility of ambulatory laparoscopic cholecystectomy （ALC） based on the surgical situation of gallbladder resection patients in Qujing, Yunnan. Methods A retrospective analysis was conducted on 77 patients who underwent laparoscopic cholecystectomy at the First People's Hospital of Qujing City from September 2019 to October 2020. Based on the different treatment methods, the 77 patients were divided into the ALC group （n = 38） and the traditional laparoscopic cholecystectomy （TLC） group （n = 39）, and comparisons were made on the general preoperative conditions, surgical safety, health economics, and satisfaction indicators of the two groups. Results There were no statistically significant differences between the two groups of patients in terms of medical history, gender, age, surgery time, intraoperative bleeding, postoperative complications, and postoperative satisfaction （P > 0.05）. The differences in preoperative waiting time, length of hospital stay, and hospital costs were statistically significant between the two groups （P < 0.05）, with the ALC group showing a significant reduction in preoperative waiting time and hospital stay compared to the TLC group, and a significant decrease in surgical costs compared to the TLC group. Conclusion Precise minimally invasive surgical procedures combined with continuous postoperative care services, multi-modal pain management concepts, and fast recovery concepts in perioperative management can significantly shorten the preoperative and hospital stay duration, reduce hospital costs, and avoid an increase in postoperative complications. Therefore, ALC is practical, safe, effective, and beneficial to patients and regional medical resources. It can be implemented in combination with the actual situation in different regions.
- Day surgery,
- Laparoscopic cholecystectomy,
- Curative effect,
- Implementation

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References(45)

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