Laparoscopic cholecystectomy in Songklanagarind Hospital
Article
in English
| IMSEAR
| ID: sea-132149
ABSTRACT
Objective:
To contribute our five years of experience of laparoscopic cholecystectomy in Songklanagarind Hospital and find out the risk factors of prolonged length of hospital stay.Design:
A retrospective study.Materials andmethods:
A review of the hospital database of all the patients who underwent laparoscopic cholecystectomy between January 2001 and December 2005.Results:
A total of 539 laparoscopic cholecystectomies were performed; the conversion rate was 23.19%. In the cases of successful laparoscopic surgery; patients the mean time for hospital stay was 5.23 days. Surgical site infection occurred in 9.67% of the cases and prophylactic antibiotics were used for 85.27% of the patients. Significantly, surgical wound infection was associated with the type of drain used and also obesity (p = 0.03, p \< 0.001). Local injections of marcaine did not reduce the volume/quantity of narcotic used (p=0.236), and was found to very slightly increase the incidence of wound infection (p = 0.215). Prophylactic postoperative nausea and vomiting (PONV) did not reduce the incidence of severe PONV and medication used (p = 0.109). One patient had a common bile duct injury (0.28%).Conclusions:
Laparoscopic cholecystectomy is a safe and feasible procedure. We have tried to improve the patient outcome through moving to a day care laparoscopic cholecystectomy surgical option.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Observational study
/
Risk factors
Language:
English
Year:
2010
Type:
Article
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