Photiadis Ines, Eckhardt Daniel, Loch Elena, Hüttner Felix J, Diener Markus K, Heger Patrick
Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Universität, Prof.-Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland.
Chirurgie (Heidelb). 2024 Dec;95(12):962-969. doi: 10.1007/s00104-024-02167-x. Epub 2024 Sep 5.
While laparoscopic cholecystectomy has largely been performed in an outpatient setting in some countries for years, in Germany it is still generally performed on an inpatient basis; however, with the progressive ambitions for more outpatient treatment within the German healthcare system, laparoscopic cholecystectomy will (have to) increasingly be performed on an outpatient basis in the upcoming years.
Presentation of the current framework conditions and the potential for outpatient performance of laparoscopic cholecystectomy in Germany. Presentation and discussion on the current state of knowledge regarding patient selection, treatment pathways and safety of outpatient laparoscopic cholecystectomy.
The potential for outpatient management of laparoscopic cholecystectomy in Germany is high. Based on the current literature, there are no safety concerns regarding outpatient performance of laparoscopic cholecystectomy in selected patients.
Outpatient management of laparoscopic cholecystectomy is inevitably heading our way in the next years. The key to successful change will be comprehensive patient information, patient selection and structured outpatient treatment pathways.
多年来，在一些国家，腹腔镜胆囊切除术大多在门诊进行，但在德国，该手术仍普遍在住院条件下进行；然而，随着德国医疗体系对更多门诊治疗的进取性目标，未来几年腹腔镜胆囊切除术将越来越多地在门诊进行。
介绍德国腹腔镜胆囊切除术门诊治疗的当前框架条件和可能性。介绍并讨论关于门诊腹腔镜胆囊切除术患者选择、治疗途径和安全性的当前知识状况。
德国腹腔镜胆囊切除术门诊管理的潜力很大。根据当前文献，在选定患者中进行门诊腹腔镜胆囊切除术不存在安全问题。
未来几年，腹腔镜胆囊切除术门诊管理将不可避免地成为发展趋势。成功变革的关键将是全面的患者信息、患者选择和结构化的门诊治疗途径。
