title: Feasibility and safety of day-surgery laparoscopic cholecystectomy: a single-institution 5-year experience of 1140 cases.
abstract: OBJECTIVE
  We report our experience with day-surgery laparoscopic cholecystectomy and assess its feasibility and safety.
  
  
  METHODS
  Data was collected on all the patients who underwent day-surgery laparoscopic cholecystectomy between February 2009 and February 2014 at Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. All patients had symptomatic cholelithiasis that was proven on imaging studies with clearance of the common bile duct. The patient biographical data (age, gender, American Society of Anaesthesiology status, medical comorbidities) and surgical outcomes were then obtained. There was an evaluation of the success rate of day-surgery laparoscopic cholecystectomy, reasons for unexpected admission, and the re-admission rate.
  
  
  RESULTS
  A total of 1,140 patients were included in this study. The success rate for day-surgery laparoscopic cholecystectomy was 96%. The reasons for unexpected hospital admission for 46 patients (4%) included persistent abdominal pain and postoperative emesis. The postoperative re-admission rate was 0.4% (5 patients). There were no major complications, and the conversion rate was 0.5% (6 patients).
  
  
  CONCLUSIONS
  We suggest that day-surgery laparoscopic cholecystectomy is both safe and feasible in a local setting. Careful patient selection is essential in ensuring a high success rate.
authors.affiliation: Trauma and Acute Surgery Unit, Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Saud
authors.initials: S
authors.lastname: Al-Omani
authors.affiliation: Hepatobiliary and Liver Transplant Unit, Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Helayel
authors.initials: H
authors.lastname: Almodhaiberi
authors.affiliation: Minimally Invasive and Upper GI Surgery Unit, Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Bander
authors.initials: B
authors.lastname: Ali
authors.affiliation: Trauma and Acute Surgery Unit, Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Abdulrahman
authors.initials: A
authors.lastname: Alballa
authors.affiliation: Trauma and Acute Surgery Unit, Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Khalid
authors.initials: K
authors.lastname: Alsowaina
authors.affiliation: Hepatobiliary and Liver Transplant Unit, Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alhasan
authors.affiliation: Hepatobiliary and Liver Transplant Unit, Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Algarni
authors.affiliation: Department of Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Haifa
authors.initials: H
authors.lastname: Alharbi
authors.affiliation: Department of Nursing, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.lastname: Degna
authors.affiliation: Department of Nursing, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Maria-Rosene
authors.initials: MR
authors.lastname: Alarma
keywords: Ambulatory surgery; Day surgery; Laparoscopic cholecystectomy