[Ambulatory follow-up care in laparoscopic cholecystectomy].
FUNDAMENTAL CONSIDERATIONS: With increasing frequency, laparoscopic procedures are now replacing conventional cholecystectomy. Given the choice, patients with cholecystolithiasis almost always opt for the former procedure.


RESULTS
Because the laparoscopic procedure offers considerable advantages as compared with open surgery, the increased risk of local complications associated with it tends to be ignored. For example, injuries to the biliary ducts are about ten times as common as in the case of conventional cholecystectomy. Injuries to the bowel, previously unknown, are increasingly being observed. Symptoms associated with undetected injuries usually do not occur until the patient has been discharged.


CONCLUSIONS
Ambulatory aftercare is particularly important following laparoscopic cholecystectomy. Complications need to be detected in good time in order to be able to institute appropriate counter-measures.
Waninger
J
J
Abteilung Allgemeine Chirurgie mit Poliklinik, Universität Freiburg/Br.
D000553:Ambulatory Care; D001652:Bile Ducts / Q000293:injuries; D017081:Cholecystectomy, Laparoscopic; D006801:Humans; D007420:Intestine, Large / Q000293:injuries; D007902:Length of Stay; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology