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Feasibility of day case laparoscopic cholecystectomy in unselected patients
Author(s) -
Tuckey J. P.,
Morris G. N.,
Peden C. J.,
Tate J. J. T.
Publication year - 1996
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.1365-2044.1996.tb14967.x
Subject(s) - medicine , nausea , laparoscopic cholecystectomy , visual analogue scale , anesthesia , surgery , cholecystectomy
Summary The feasibility of clay ease laparoscopic cholecystectomy was assessed in unselected patients using a standard anaesthetic protocol. Postoperative pain and nausea were assessed at 6 and 24 h postoperatively (visual analogue scale, range 0‐10). Thirty‐two patients were studied (23 female. 9 male, mean age 49.6 years). The mean duration of surgery was 68 mitt. At 6 h after surgery, 10 patients (31%) had no pain at rest. For the group as a whole, the median pain score was 3 at rest (range 0‐6), 4 on movement (0 9), and 5 on coughing (0 9) and eight patients (25%) were nauseated. At 24 It, 15 (46.9%) had no pain at rest. For the group as a whole, the median pain score was I at rest (0‐7), 3 (0‐6) on movement and 3 on coughing (0 9). The same eight patients were nauseated. Ten patients (31.3%) were judged fit for discharge at 6h, and 28 (87.5%) by 24h. There was no statistical difference in mean age or duration of surgery in those judged fit for early discharge compared to the study group as a whole. Nausea was an important factor in those unfit for discharge at 24 It. Selection criteria might improve these figures. Front the results of our study, 24 h admission is a more realistic goal and will be suitable for most patients requiring laparoscopic cholecystectomy.