A retrospective case-control study on fast tract laparoscopic cholecystectomy: ambulatory surgery versus over-night surgery / 国际外科学杂志

ABSTRACT

Objective To evaluate the optimal indications for the ambulatory laparoscopic cholecystectomy (ALC).Methods From Jan.2016 to Sep.2018,2277 case who underwent laparoscopic cholecystectomies were performed in Beijing Friendship Hospital,Capital Medical University,including 1072 cases of ALC (ALC group) and 835 cases of overnight laparoscopic cholecystectomy (OLC group).Indications including age,diagnosis,comorbidity and ASA score,and outcomes including operative time,analgesic,unplanned readmission and hospital cost were compared between ALC group and OLC group.Statistical analysis was conducted by the software of SPSS 20.0.Results There were no differences in the operative time [(42.6 ± 12.4) min vs.(48.7 ±20.3) min,P =0.326] and unplanned readmission (6/1072 vs.3/835,P =0.526).The examination cost [(1 667.10 ± 461.69) vs (3 156.44 ± 884.90)] and hospital cost (8 881.69 ± 1 954.34 vs.12 149.79 ± 3 476.59) was significant lower in ALC group,and the differences were statistically significant (P ＜ 0.01).Conclusions The comorbidities were not absolute exclusion criterion for ALC.More patients could be treated by ALC if the preoperative assessment streamlining in outpatient clinic was more improved.