title: Ambulatory laparoscopic cholecystectomy: A single center experience.
abstract: OBJECTIVE
  To evaluate the demographic and clinical parameters affecting the outcomes of ambulatory laparoscopic cholecystectomy (ALC) in terms of pain, nausea, anxiety level, and satisfaction of patients in a tertiary health center.
  
  
  METHODS
  ALC was offered to 60 patients who met the inclusion criteria. Follow-up (questioning for postoperative pain or discomfort, nausea or vomiting, overall satisfaction) was done by telephone contact on the same day at 22:00 p.m. and the first day after surgery at 8: 00 a.m. and by clinical examination one week after operation. STAI I and II data were used for proceeding to the level of anxiety of patients before and/or after the operation.
  
  
  RESULTS
  Sixty consecutive patients, with a mean age of 40.6 ± 8.1 years underwent ALC. Fifty-five (92%) patients could be sent to their homes on the same day but five patients could not be sent due to anxiety, pain, or social indications. Nausea was reported in four (6.7%) cases and not associated with any demographic or clinical features of patients. On the other hand, pain has been reported in 28 (46.7%) cases, and obesity and shorter duration of gallbladder disease were associated with the increased pain perception (P = 0.009 and 0.004, respectively). Preopereative anxiety level was significantly higher among patients who could not complete the ALC procedure (P = 0.018).
  
  
  CONCLUSIONS
  Correct management of these possible adverse effects results in the increased satisfaction of patients and may encourage this more cost-effective and safe method of laparoscopic cholecystectomy.
authors.affiliation: Department of General Surgery, Kocaeli Derince Training And Research Hospital, Kocaeli, Turkey.
authors.forename: Cagri
authors.initials: C
authors.lastname: Tiryaki
authors.affiliation: Dumlupinar University, Faculty of Medicine, Kütahya, Turkey.
authors.forename: Zülfü
authors.initials: Z
authors.lastname: Bayhan
authors.affiliation: Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey.
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Kargi
authors.affiliation: Kocaeli University, Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Alponat
keywords: Ambulatory laparoscopic cholecystectomy; anxiety; nausea; pain