Ambulatory laparoscopic cholecystectomy. Preliminary report of 100 cases
DOI:
https://doi.org/10.51481/amc.v48i3.256Keywords:
ambulatory surgery, cholecystectomy, laparoscopyAbstract
Background:It is well known that a laparoscopicapproach is the election of choice for cholecystectomies,this is due, among other things, to the great benefits that ithas over open surgery regarding patients recovery. It is alsoknown that to do so in an ambulatory setting is reasonablein a subgroup of selected patients. Even though this hasbecome a common practice in other countries, Costa Rica ssocial security system does not have a program for ambula-tory cholecystectomy.
Aim:To demonstrate that in Costa Rica, laparoscopiccholecistectomy can be done safely in an ambulatorysetting.
Methods:Between february and july of this year a total of100 patients with cholelithiasis, with ages between 16 and61 and a previous ly signed informed consent, were includ-ed in a program of ambulatory laparoscopic cholecystecto-my at the Surgery One Service at the Hospital San Juan deDios. In general, these patients had no previous comorbilities. There were no patients with cholecystitis or thickengallbladder walls on ultrasonography. The patients wereadmitted at 6am and had the procedure done some timeduring the next 4 hours, they were discharged at 4pm andseen 15 days later.
Results:Of the 100 patients, 6 had to be hospitalized. Theonly complication was a biliary fistula. There were no rein-terventions and there was no mortality.
Conclusions:In Costa Rica, laparoscopic cholecystecto-my can be done safely in an ambulatory setting, with anadecuate preoperative selection of patients and an adequatepostoperative management.
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