title: Day case laparoscopic cholecystectomy in children: A review of 11 cases.
abstract: OBJECTIVE
  The aim of this paper is to study the outcome of day case laparoscopic cholecystectomy (DCLC) in children.
  
  
  METHODS
  A clinical pathway for day care laparoscopic cholecystectomy was followed with emphasis on the analgesia, post-operative nausea and vomiting (PONV), feeding, mobilization, pain scoring and patient satisfaction. Demographic and clinical data were recorded prospectively from March 2013 to November 2013. The setup allowed easy access to an overnight stay if needed. Hospital stay, complications, the need for medical advice after discharge, convalescence and patients satisfaction were analyzed.
  
  
  RESULTS
  We admitted 11 children with symptomatic cholelithiasis for day case laparoscopic surgery. There were no intra- or post-operative complications. The incidence of PONV was 0/11. There was no readmission. 4/11 patients complained of shoulder tip pain on follow-up next day. There was no overnight stay.
  
  
  CONCLUSIONS
  Adoption of a DCLC pathway is feasible and safe for children. Emphasis on adequate pain management and avoidance of PONV results in a high rate of day case surgery equivalent to that achieved in adult practice.
authors.affiliation: Department of Pediatric Surgery, Apollo Children's Hospital, Chennai, Tamil Nadu, India.
authors.forename: Prakash
authors.initials: P
authors.lastname: Agarwal
authors.affiliation: Department of Pediatric Surgery, Apollo Children's Hospital, Chennai, Tamil Nadu, India.
authors.forename: Raj Kishore
authors.initials: RK
authors.lastname: Bagdi
keywords: Cholecystectomy; day case; laparoscopy
references.citation: Surg Endosc. 2007 Jan;21(1):70-3
references.pmid: 17001441
references.citation: Eur J Pediatr Surg. 2013 Feb;23(1):57-62
references.pmid: 23165515
references.citation: J Pediatr Surg. 2007 Aug;42(8):1333-6
references.pmid: 17706491
references.citation: HPB (Oxford). 2008;10(6):433-8
references.pmid: 19088930
references.citation: Cochrane Database Syst Rev. 2008 Jan 23;(1):CD006798
references.pmid: 18254116
references.citation: Postgrad Med J. 2003 May;79(931):284-8
references.pmid: 12782776
references.citation: Acta Anaesthesiol Scand. 2011 Jul;55(6):658-63
references.pmid: 21463262
references.citation: Surg Endosc. 1999 May;13(5):445-8
references.pmid: 10227938