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RESULTS AND FEASIBILTY OF DAY CARE LAPROSCOPIC CHOLECYSTECTOMY

1Dr. Umme Kalsoom Rabi, 2Dr. Naila Mubashir, 2Dr. Tooba Tahira

Objective: To evaluate the feasibility and outcomes of laparoscopic cholecystectomy in an independent day care surgical unit. Study Design: A Case series. Configuration and duration: From April 2017 to April 2018 in the Shalamar Hospital Lahore for one year duration. Methodology: patients presenting with diagnosis of cholelithiasis were included and gave consent for laparoscopic cholecystectomy in the day care. Selection criteria included ASA grade I and II, age <60 years, normal liver function tests, signs and symptoms of acute cholecystitis and weight <100 kg. The duration of operation, complications, transformation, nocturnal stay, and responsible factors were analyzed. Results: In 113 (88.5%) of the patients, 13 patients (13.5%) were male and females were 100. The mean age was 37.9, and laparoscopic cholecystectomy was performed. 99 of the patients (87.61%) were discharged on the same day and 14 (12.39%) were staying overnight. The reasons for overnight stay included 2 (1.77%) nausea and vomiting, drain placement (4.43%), 4 (3.54%) conversion to open type 3 (2.65%) and patient preference. Complications included 5 (4.43%) port area infections, 1 (0.88%) port area hernia, and 1 (0.88%) had minor bile leakage. Conclusion: Laparoscopic day care cholecystectomy is a safe and feasible option in a separate daily care unit in a selected group of patients. Key words: day care surgery, ambulatory surgery, laparoscopic cholecystectomy, ambulatory surgery.

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