Predicting failure of outpatient laparoscopic cholecystectomy. Am J Surg 2002 Dec;184(6):515-8; discussion 518-9
Date
12/19/2002Pubmed ID
12488152DOI
10.1016/s0002-9610(02)01080-2Scopus ID
2-s2.0-0036911909 (requires institutional sign-in at Scopus site) 70 CitationsAbstract
BACKGROUND: Outpatient laparoscopic cholecystectomy (LC) is safe and feasible, but factors related to the failure of outpatient surgery are poorly defined. We hypothesized that patients in whom same day discharge (SDD) is unlikely may be identified preoperatively.
METHODS: Three hundred eighty-seven consecutive patients scheduled for elective LC were prospectively enrolled in an outpatient clinical pathway.
RESULTS: In all, 269 (70%) patients successfully underwent outpatient LC. Factors related to failure of SDD were age, American Society of Anesthesiology (ASA) class, surgery start time, and duration of surgery. Body mass index, liver function tests, and ultrasound findings did not predict failure of SDD. Three factors were able to predict more than 50% failure of SDD: age more than 50 years, ASA class 3 or more, and surgery start time later than 1:00 PM.
CONCLUSIONS: Outpatient LC is feasible in a large county hospital. These data may be used in scheduling cases and counseling patients.
Author List
Robinson TN, Biffl WL, Moore EE, Heimbach JK, Calkins CM, Burch JMAuthor
Casey Matthew Calkins MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAge Factors
Ambulatory Care
Ambulatory Surgical Procedures
Cholecystectomy, Laparoscopic
Cholelithiasis
Critical Pathways
Female
Health Status Indicators
Hospitalization
Humans
Male
Middle Aged
Predictive Value of Tests
Preoperative Care
Prospective Studies
Risk Factors
Time Factors
Treatment Failure
