[Establishment of routines for elective laparoscopic surgery].
BACKGROUND
During the autumn of 1999, elective laparoscopic cholecystectomy was introduced as a new surgical procedure in the Central Hospital Østfold, Askim. A prospective evaluation of perioperative patient logistics and patient satisfaction was performed.


METHODS
214 patients were evaluated in the ambulatory; 116 of them were scheduled for operation. The operations were performed in general anaesthesia with continuous infusion of propofol and short acting opioides. Analgetics and anti-emetics were given pre- and perioperatively as prophylaxis against postoperative pain and nausea.


RESULTS
There were three unexpected cancellations. Two patients had serious postoperative bleedings and two had symptoms indicating residual bile duct stones. Twenty-eight patients (24%) were discharged on the same day. 114 patients (98%) were satisfied with their stay in hospital.


CONCLUSIONS
The established patient logistics proved efficient and rational.
Trondsen
E
E
Kirurgisk avdeling, Sykehuset Østfold Askim, 1800 Askim. erik.trondsen@ulleval.no
Stordahl
A
A
Fröberg
L G
LG
Kylebäck
A
A
Rzadkowski
H
H
Nazir
M
M
Løes
Ø
Ø
D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D017558:Elective Surgical Procedures / Q000379:methods; D006801:Humans; D007902:Length of Stay; D009664:Norway; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011183:Postoperative Complications / Q000175:diagnosis; D011446:Prospective Studies