title: Early experience of day care surgery in Nepal.
abstract: BACKGROUND
  The day care laparoscopic cholecystectomy (DCLC) is found to be safe and effective in developed countries. However, it has not been well accepted in our part of the world probably because of lack of infrastructures,established norms and published reports. We have analyzed the safety and feasibility of the procedure in the recently established first dedicated day care surgery centre of the country.
  
  
  METHODS
  All the patients with American society of anaesthesiologist (ASA) score I and II admitted for laparoscopic cholecystectomy are included. Operation are performed in the morning and closely observed till evening. Patients found to be medically fit to discharge; having a responsible person at home and who can make their own arrangements in case of problems were advised for discharge. Follow up was done by telephone call from next morning.
  
  
  RESULTS
  Total 35 patients underwent laparoscopic cholecystectomy. Age range was between 16-65 years and most of them were females (88%). Only 30 patients were operated in early morning and were eligible for day care surgery. 25 (83%) Patients were advised for discharge but only 10 (33%) could make arrangement. Other 15 patients could not go home mainly due to different psychosocial reasons. Only one patient needed readmission and Complications observed were minor and relatively few.
  
  
  CONCLUSIONS
  Day care laparoscopic cholecystectomy is safe and feasible in our set up. Acceptance of the procedure is expected to increase once it is regularly practiced and awareness in improved.
authors: Department of surgery, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
authors: D R
authors: DR
authors: Singh
authors: M R
authors: MR
authors: Joshi
authors: U
authors: U
authors: Koirala
authors: B R
authors: BR
authors: Shrestha
authors: S
authors: S
authors: Shrestha
authors: B
authors: B
authors: Gautam
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal; D011183:Postoperative Complications; D011446:Prospective Studies; D016896:Treatment Outcome