日间腹腔镜胆囊切除术是可行的。

Day case laparoscopic cholecystectomy is feasible.

作者信息

Kiely J M, Brannigan A E, Foley E, Cheema S, O'Brien W, Delaney P V

机构信息

Department of Surgery, Limerick Regional Hospital, Limerick, Ireland.

出版信息

Ir J Med Sci. 2001 Apr-Jun;170(2):98-9. doi: 10.1007/BF03168818.

DOI:10.1007/BF03168818

PMID:11491060

Abstract

BACKGROUND

Laparoscopic cholecystectomy is the operation of choice for cholelithiasis.

AIMS

The aims of our study were to assess the feasibility of day case laparoscopic cholecystectomy (DCLC) in selected patients.

METHODS

DCLC was introduced in this unit in July 1999. The first 50 patients were prospectively evaluated up to February 2001.

RESULTS

All patients were under 55 years of age with an ASA grade of I (n = 48) or II (n = 2). The mean age was 41.1 years (range 20-55 years) and the male:female ratio was 1:6. All patients had a standard anaesthetic protocol. Patients were discharged 10 to 12 hours postoperatively with a pro forma, which was reviewed at one week in the clinic. The conversion rate was 2%. Three required overnight admission due to excessive nausea, hypertension and for an unforeseen psychosocial problem. Ninety per cent of patients were suitable for same day discharge. No patient required subsequent readmission.

CONCLUSION

DCLC is feasible and safe in carefully selected patients and has the advantages of convenience and cost-effectiveness.

摘要

背景

腹腔镜胆囊切除术是治疗胆结石的首选手术。

目的

我们研究的目的是评估在选定患者中进行日间腹腔镜胆囊切除术（DCLC）的可行性。

方法

1999年7月在本单位引入DCLC。对前50例患者进行前瞻性评估，直至2001年2月。

结果

所有患者年龄均在55岁以下，美国麻醉医师协会（ASA）分级为I级（n = 48）或II级（n = 2）。平均年龄为41.1岁（范围20 - 55岁），男女比例为1:6。所有患者均采用标准麻醉方案。患者术后10至12小时出院，并携带一份预填表，在术后一周门诊复查。中转率为2%。3例患者因严重恶心、高血压和一个意外的社会心理问题需要过夜住院。90%的患者适合当日出院。无患者需要再次入院。