• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

SAFETY AND FEASIBILITY OF DAY CARE LAPAROSCOPIC CHOLECYSTECTOMY IN A TERTIARY CARE UNIVERSITY HOSPITAL – A RANDOMIZED CONTROLLED STUDY

Anubhav Vindal, MS, DNB, MRCSEd, FRCSGlas, FACS, FAIS, Saurav Kumar, MBBS, Pawanindra Lal, MS, DNB, FRCSEd, FRCSGlas, FACS, FAIS. Division of Minimal Access Surgery, Department of Surgery, Maulana Azad Medical College, New Delhi, India

Background: Day care laparoscopic cholecystectomy (DCLC) is increasingly replacing inpatient cholecystectomy in the developed nations. Early mobilization and return to normal activities has many positive implications for the patient, the hospital, and society. However, the safety and efficacy of DCLC is yet to be tested in developing nations especially in centres without dedicated units and well-established protocols for day care surgery.

We present the results of our prospective randomized double blind study to evaluate feasibility and safety of DCLC in unselected patients in a tertiary care university hospital of a developing country without a separate facility for day care surgery.

Methods and Procedures: Hundred patients of symptomatic gall stone disease planned for elective LC were included in the study. The only selection criteria that were used to screen the patients were residence within 1 hour of travel time to the hospital, ability to comprehend written, verbal and telephonic instructions and a responsible adult company at home.

The patients were randomized at the conclusion of the surgery into two groups of 50 patients each (DCLC and in-patient LC). The surgeon and the observer were blinded to the groups of the patients.

Post-operative pain (at 6, 12, 24 hours and 1 week) (using VAS), time of return to activities and patient satisfaction (using Capuzzo score) were recorded and compared between the two groups. Discharge and readmission rates were also recorded in the DCLC group.

Results: The mean VAS at 6, 12, 24 hours and 1 week was more or less similar in the two groups (p=0.637, 0.612, 0.582 and 0.536 respectively). However the mean time to return to activities was significantly lower (p<0.0001) and mean Capuzzo score (patient satisfaction) higher (p<0.05) in DCLC group compared to in-patient LC group. The discharge rate for the DCLC group was 98% (49/50 patients discharged as planned). There were no readmissions in this group (0%).

Conclusions: DCLC is safe and feasible in unselected patients even in centres without dedicated day care units. Proper patient counselling and adherence to standard discharge protocols may help in reducing readmission rates and increasing patient satisfaction and acceptability of this pathway. Developing countries have a lot to gain from day care approach, in the form of decreased health care costs, higher turnover of hospital beds, and decreased loss of work days.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94063

Program Number: P249

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

92

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube
  • Instagram
  • TikTok

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons