Feasible Factors to Reduce Hospital Days after Laparoscopic Cholecystectomy
Journal of Minimally Invasive Surgery
; : 80-84, 2014.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-94116
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
Under the proper program, day-case laparoscopic cholecystectomy is feasible in the aspect of postoperative recovery consisting of patient's satisfaction and postoperative complication. In this study, we plan a new protocol for laparoscopic cholecystectomy by analyzing factors that can reduce hospital days.METHODS:
A total of 175 patients who underwent three-day laparoscopic cholecystectomy were initially selected. Out of 175 patients, secondary selection was executed using inclusion criteria. The selected patients were scheduled for new two-day laparoscopic cholecystectomy, and 89 patients were included in the data analysis. This study elucidated the comparative analysis between the discharged in the postoperative day 0 group and the postoperative day 1 group.RESULTS:
The clinical characteristics were not significantly different between discharged in the postoperative day 0 group and the postoperative day 1 group. The combined diseases were not significantly different between the two groups. Post-operative complications in both groups were analyzed on the seventh day after the operation. No significant difference was observed between the two groups. Members of the patient group who were discharged on postoperative day 0 were given a survey regarding post-operative pain, desirability of discharge, and the level of satisfaction with patient education. The average score was 8.3 out of 10 points. In comparison of the total hospital cost between the two groups, the group discharged on postoperative day 0 had lower cost in all factors.CONCLUSION:
We conclude that day-case laparoscopic cholecystectomy is as safe and effective as routine clinical pathway applied laparoscopic cholecystectomy in stable cardiovascular disease, uncomplicated pulmonary disease, and controlled DM patients.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Arranjos de Entrega
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Doenças Cardiovasculares
/
Educação de Pacientes como Assunto
/
Estatística como Assunto
/
Colecistectomia Laparoscópica
/
Custos Hospitalares
/
Procedimentos Clínicos
/
Pneumopatias
Tipo de estudo:
Guia de prática clínica
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Minimally Invasive Surgery
Ano de publicação:
2014
Tipo de documento:
Artigo