Overnight Observation Post Laparoscopic Cholecystectomy
| المصدر: | مجلة بحوث جامعة تعز - سلسلة الآداب والعلوم الإنسانية والتطبيقية |
|---|---|
| الناشر: | جامعة تعز |
| المؤلف الرئيسي: | Shukr, Khulood A. R. (Author) |
| مؤلفين آخرين: | Noaman, Tarek (Co-Author) , Shamsan, A. Kafee (Co-Author) |
| المجلد/العدد: | ع29 |
| محكمة: | نعم |
| الدولة: |
اليمن |
| التاريخ الميلادي: |
2021
|
| الشهر: | ديسمبر |
| الصفحات: | 26 - 35 |
| رقم MD: | 1261900 |
| نوع المحتوى: | بحوث ومقالات |
| اللغة: | الإنجليزية |
| قواعد المعلومات: | EduSearch, AraBase, HumanIndex |
| مواضيع: | |
| رابط المحتوى: |
الناشر لهذه المادة لم يسمح بإتاحتها. |
| المستخلص: |
Laparoscopic cholecystectomy is the treatment of choice for symptomatic gall bladder stone. There is controversy regarding the optimal candidate and postoperative observation time for patients post laparoscopic cholecystectomy. OBJECTIVES: To identify clinical and surgical factors, which could determine if patient need to be kept either as 24-hour observation or discharge home at same day post elective laparoscopic cholecystectomy. METHODS: A retrospective review was performed from January 2017 to May 2020 on consecutive patients undergoing laparoscopic cholecystectomy, patients’ demographics, surgical and postoperative details were analyzed. RESULT: 203 laparoscopic cholecystectomies were performed, the median age was 38 (IQR, 20-50) years, mean postoperative stay was 1.2 ± 0.57 days. Fifteen (7.4%) patients were discharged home at the same day. Three (1.5%) patients were re-admitted; 149 (71.8%) patients might be discharged home at same day. CONCLUSION: The majority of patients can be successfully managed with day care laparoscopic cholecystectomy without overnight stay. The median time of 4 hrs. is sufficient for postoperative observation. The main significant factor for overnight observation in this study was drain presence cholecystectomy was instituted, propagated. |
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