title: [Ambulatory laparoscopic cholecystectomy. A cohort study of 1,600 consecutive cases].
abstract: OBJECTIVE
  A descriptive analysis of day-case laparoscopic cholecystectomy (ALC) in a cohort of 1,600 consecutive patients performed in Instituto de Cirugía y Aparato Digestivo (ICAD), Clínica Quirón de Valencia in the period 1997-2010.
  
  
  METHODS
  Prospective observational study of 1,601 consecutive patients undergoing elective laparoscopic cholecystectomy (LC) provided by the regional health service and private health companies.
  
  
  METHODS
  Conversion rate, non-planned admissions, readmissions, surgery duration and demographics.
  
  
  RESULTS
  ALC was successfully performed in 80.8% of cases. LC with over-night (ON) stay accounted for 13.4% of patients. Admission was necessary in 4.6%. Mortality was 0.13%, 0.08 in ALC and 0.5% in ON LC. Readmissions occurred in 2.1%, 1.6% in ALC group, 5.4% in ON stay and 4.2% in admission group.
  
  
  CONCLUSIONS
  ALC is a reliable and safe procedure. Minimization of admission rates is the key for cost-effective optimization in the management of cholelithiasis. ALC should be considered as the reference standard in gallbladder stone disease treatment.
authors.affiliation: Instituto de Cirugía y Aparato Digestivo (ICAD), Clínica Quirón de Valencia, Valencia, España. planells_mvi@gva.es
authors.forename: Manuel
authors.initials: M
authors.lastname: Planells Roig
authors.forename: Rafael
authors.initials: R
authors.lastname: Garcia Espinosa
authors.forename: María
authors.initials: M
authors.lastname: Cervera Delgado
authors.forename: Francisco
authors.initials: F
authors.lastname: Navarro Vicente
authors.forename: Miguel
authors.initials: M
authors.lastname: Carrau Giner
authors.forename: Angel
authors.initials: A
authors.lastname: Sanahuja Santafé
authors.forename: Consuelo
authors.initials: C
authors.lastname: Arnal Bertomeu
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies