Dr Arslan Nasir, Dr M. Muzzamil Yasin Khan, Dr Aliya Maryum Salman
Objective: To share our experience of day hospital laparoscopic cholecystectomy and assess its safety and feasibility in a local setting. Place and Duration: In the Surgical Unit-II of Nishtar Hospital Multan for one-year duration from May 2019 to May 2020. Methods: All patients who underwent day care laparoscopic cholecystectomy after meeting criteria were enrolled in the study. There were 50 patients. Patient demographic data as well as examination of operational and postoperative complications were recorded. Discharge criteria were formulated based on a scoring system for discharges after anesthesia. All patients who were discharged at 9:00 p.m. were considered a daytime case. All patients admitted overnight were recorded. The reasons for the overnight stay were also assessed. Results: Fifty patients were selected for laparoscopic cholecystectomy in the day ward. Out of all fifty patients, 5 (10%) had to stay overnight. The main reason (6%) for the night was post-operative pain and vomiting, while post-operative hemorrhage (2%) and biliary discharge (2%) were other causes of unplanned admissions. Conclusion: Laparoscopic cholecystectomy is a safe, feasible and effective daily procedure in selected patients. Key words: laparoscopic cholecystectomy, outpatient cholecystectomy, day care, gallbladder.