title: [Comparative study of ambulatory laparoscopic cholecystectomy versus management of laparoscopic cholecystectomy with conventional hospital stay].
abstract: BACKGROUND
  To analyse the effectiveness and quality of ambulatory laparoscopic cholecystectomy (CLCMA) versus management of laparoscopic cholecystectomy with conventional hospital stay (CLEST).
  
  
  METHODS
  A retrospective study was conducted on all patients ASA I-II, who had a laparoscopic cholecystectomy (LC) over a period of 6 years. The patients were divided into 2 groups: group CLCMA (n = 141 patients) and group CLEST (n = 286 patients). The effectiveness was analysed by evaluating morbidity, further surgery, re-admission and hospital stay. The quality analysis was performed using CLCMA group satisfaction surveys and subsequent assessment by indicators of satisfaction.
  
  
  RESULTS
  There was no significant differences between groups (CLEST vs. CLCMA) in morbidity (5.24 vs 4.26), further surgery (2.45 vs. 1.42) or re-admissions (1.40 vs. 3.55). There was no postoperative mortality. In the CLCMA group 82% of patients were discharged on the same day of surgery, with a mean stay of 1.16 days, while in the CLEST group the mean hospital stay was 2.94 days (P=.003).The overall satisfaction rate was 82%, and the level of satisfaction of care received was 81%, both above the previously set standard.
  
  
  CONCLUSIONS
  CLCMA is just as effective and safe as hospital based CLEST, with a good level of perceived quality.
authors: Servicio de Cirugía General y Aparato Digestivo, Hospital de Cabueñes, Gijón, Asturias, España. marianlezana7278@yahoo.es
authors: María Ángeles
authors: MÁ
authors: Lezana Pérez
authors: Guillermo
authors: G
authors: Carreño Villarreal
authors: Paola
authors: P
authors: Lora Cumplido
authors: Raúl
authors: R
authors: Alvarez Obregón
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002985:Clinical Protocols; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011787:Quality of Health Care; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cholelithiasis; Cirugía mayor ambulatoria; Colecistectomía laparoscópica ambulatoria; Colelitiasis; Major ambulatory surgery; Outpatient laparoscopic cholecystectomy