title: Can we consider day-case laparoscopic cholecystectomy for acute calculous cholecystitis? Identification of potentially eligible patients.
abstract: BACKGROUND
  Day-case laparoscopic cholecystectomy has not yet been validated for acute cholecystitis. We sought to identify a subgroup of acute cholecystitis patients having been hospitalized overnight after laparoscopic cholecystectomy but who could have been eligible for day-case surgery.
  
  
  METHODS
  We identified patients treated for acute cholecystitis with laparoscopic cholecystectomy in our university medical center between May 1, 2010, and May 31, 2012, and who lacked contraindications for day-case surgery. In a second step, we assumed that patients hospitalized for <3 d would have been eligible for day-case surgery. We then compared patients hospitalized for ≤3 d with those hospitalized for >3 d in terms of demographic data, laboratory test results, and surgical procedures.
  
  
  RESULTS
  The study population comprised 86 men and 82 women (median age: 57 y; age range: 18-90 y). Contraindications for day-case surgery were identified preoperatively in 23% of the cases (39 of 168) and intraoperatively in another 23% of the cases. The proportion of patients hospitalized for <3 d was 41% (69 of 168) when considering the intention-to-treat population and 57% (51 of 90) when considering patients with no contraindications to day-case surgery. Forty percent of the patients hospitalized for ≥3 d (16 of 39) suffered from postoperative pain that was poorly controlled by oral analgesics. Abdominal drainage was the only predictive factor for hospitalization <3 d (odds ratio [95% confidence interval] = 0.13 [0.02-0.71]; P = 0.01).
  
  
  CONCLUSIONS
  Day-case laparoscopic may be feasible in selected patients with mild or moderate acute calculous cholecystitis. Our present results may be of use in designing a study of day-case surgery for acute calculous cholecystitis and related changes in the management of these patients.
authors.affiliation: Department of Digestive and Metabolic Surgery, Amiens University Medical Center, Amiens, France; Inserm U1088 Faculty of Medicine, University of Picardie Jules Verne, Amiens, France.
authors.forename: David
authors.initials: D
authors.lastname: Fuks
authors.forename: Cyril
authors.initials: C
authors.lastname: Cosse
authors.forename: Charles
authors.initials: C
authors.lastname: Sabbagh
authors.forename: Delphine
authors.initials: D
authors.lastname: Lignier
authors.forename: Celine
authors.initials: C
authors.lastname: Degraeve
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Regimbeau
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D041881:Cholecystitis, Acute / Q000601:surgery*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D018579:Patient Selection
keywords: Acute cholecystitis; Cholecystectomy; Day-case surgery