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Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center

OBJECTIVE: We conducted a retrospective 4-year study of patients undergoing laparoscopic cholecystectomy at a freestanding ambulatory surgery center. Data on rates of hospital admission, conversion to open surgery, bile duct injury, postoperative bile leakage, and incidence of choledocholithiasis we...

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Autores principales: Wenner, Donald E., Whitwam, Paul, Turner, David, Chadha, Amrita, Degani, Jason
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015679/
https://www.ncbi.nlm.nih.gov/pubmed/16709357
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author Wenner, Donald E.
Whitwam, Paul
Turner, David
Chadha, Amrita
Degani, Jason
author_facet Wenner, Donald E.
Whitwam, Paul
Turner, David
Chadha, Amrita
Degani, Jason
author_sort Wenner, Donald E.
collection PubMed
description OBJECTIVE: We conducted a retrospective 4-year study of patients undergoing laparoscopic cholecystectomy at a freestanding ambulatory surgery center. Data on rates of hospital admission, conversion to open surgery, bile duct injury, postoperative bile leakage, and incidence of choledocholithiasis were analyzed. The success rate for dynamic fluoroscopic intraoperative cholangiography was computed, and outpatient laparoscopic common bile duct exploration and anesthetic management were reviewed. METHODS: Patient charts from the ambulatory surgery center, office, and hospital were reviewed over a 4-year period commencing in October 1999. All cases were performed by 1 of 3 surgeons who are experienced with outpatient laparoscopic cholecystectomy and practice routine dynamic fluoroscopic intraoperative cholangiography. RESULTS: A total of 338 laparoscopic cholecystectomies were performed. Dynamic fluoroscopic intraoperative cholangiography was successfully performed in 89% (n=302). No instances of bile duct injury or conversions to open surgery were reported. A 0.89% (n =3) incidence of postoperative bile leak occurred. Six patients were admitted for inpatient care for a rate of 1.78%. Choledocholithiasis occurred in 2.0% and was managed successfully in the ambulatory setting. CONCLUSION: Laparoscopic cholecystectomy can be adapted to the freestanding ambulatory surgery environment with very high standards of care and very low complication rates.
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spelling pubmed-30156792011-02-17 Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center Wenner, Donald E. Whitwam, Paul Turner, David Chadha, Amrita Degani, Jason JSLS Scientific Papers OBJECTIVE: We conducted a retrospective 4-year study of patients undergoing laparoscopic cholecystectomy at a freestanding ambulatory surgery center. Data on rates of hospital admission, conversion to open surgery, bile duct injury, postoperative bile leakage, and incidence of choledocholithiasis were analyzed. The success rate for dynamic fluoroscopic intraoperative cholangiography was computed, and outpatient laparoscopic common bile duct exploration and anesthetic management were reviewed. METHODS: Patient charts from the ambulatory surgery center, office, and hospital were reviewed over a 4-year period commencing in October 1999. All cases were performed by 1 of 3 surgeons who are experienced with outpatient laparoscopic cholecystectomy and practice routine dynamic fluoroscopic intraoperative cholangiography. RESULTS: A total of 338 laparoscopic cholecystectomies were performed. Dynamic fluoroscopic intraoperative cholangiography was successfully performed in 89% (n=302). No instances of bile duct injury or conversions to open surgery were reported. A 0.89% (n =3) incidence of postoperative bile leak occurred. Six patients were admitted for inpatient care for a rate of 1.78%. Choledocholithiasis occurred in 2.0% and was managed successfully in the ambulatory setting. CONCLUSION: Laparoscopic cholecystectomy can be adapted to the freestanding ambulatory surgery environment with very high standards of care and very low complication rates. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3015679/ /pubmed/16709357 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Wenner, Donald E.
Whitwam, Paul
Turner, David
Chadha, Amrita
Degani, Jason
Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center
title Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center
title_full Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center
title_fullStr Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center
title_full_unstemmed Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center
title_short Laparoscopic Cholecystectomy and Management of Biliary Tract Stones in a Freestanding Ambulatory Surgery Center
title_sort laparoscopic cholecystectomy and management of biliary tract stones in a freestanding ambulatory surgery center
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015679/
https://www.ncbi.nlm.nih.gov/pubmed/16709357
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