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Post cholecystectomy admission to the intensive care unit
Author(s) -
Messahel F. M.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb05861.x
Subject(s) - medicine , intensive care unit , laparoscopic cholecystectomy , cholecystectomy , intensive care , surgery , general surgery , intensive care medicine
Summary Admissions to the intensive care unit following three different techniques for cholecystectomy, the open, mini‐lap and laparoscopic methods, were studied over an 18‐month period. Of 1078 cases of operative cholecystectomy performed during that period, 28 cases (2.6%) from all groups were admitted to the intensive care unit. Cases in the open and mini‐lap cholecystectomy groups were admitted for postoperative monitoring because of pre‐existing medical diseases and were discharged after an average period of stay of 2.4 and 4.7 days respectively. In contrast, the average stay of patients in the laparoscopic group was 14.8 days and the majority were admitted as a result of complications related to the procedure. In this group, one patient died on the first day of admission to the unit (mortality of 8.3%). This study has shown that laparoscopic surgery, from the intensive care point of view, is a very costly surgical procedure.