[Outpatient laparoscopic cholecystectomy. Experience with the first 300 operations].
BACKGROUND
In Denmark, outpatient laparoscopic cholecystectomy (LC) has been evaluated only in small studies.


METHODS
The first 300 consecutive patients undergoing LC in a university hospital outpatient clinic were evaluated prospectively. Complications, lack of same-day discharge (SDD), postoperative symptoms, and possibilities for training were recorded.


RESULTS
The median length of surgery was 65 minutes. The conversion rate was 4%. The SDD failure rate was 23%. The percentage of readmissions was 5%. The mortality rate was 0%. Blood transfusions were given in two cases. Two umbilical port sites were infected and needed surgical drainage. No major bile duct injury occurred. Two cystic duct lesions and two small bile leaks from the gallbladder bed were diagnosed and treated. LCs" being performed by junior residents had no influence on the perioperative risks.


CONCLUSIONS
Outpatient LC is safe when performed by trainees under supervision.
Holme
Jørgen Bendix
JB
Kirurgisk Gastroenterologisk Afdeling L, Arhus Universitetshospital, Arhus Sygehus, DK-8000 Arhus C.
Skarderud
Fredrik
F
Ahlburg
Peter
P
Funch-Jensen
Peter M
PM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000193:education / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000193:education / Q000379:methods; D002983:Clinical Competence; D003718:Denmark; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D010351:Patient Discharge; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000175:diagnosis; D011446:Prospective Studies; D011795:Surveys and Questionnaires