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Original Research

RMJ. 2020; 45(1): 87-91


Laparoscopic cholecystectomy is an ambulatory procedure.

Asad Ali Kerawala, Nighat Bakhtiar, Annam Kafeel.

Abstract
Objective: To determine the operative and postoperative factors which prolong the hospital stay after laparoscopic cholecystectomy.
Methodology: This prospective cross-sectional study was carried out at Dow University Hospital on 75 patients from August 2017 to April 2018 who underwent uncomplicated laparoscopic cholecystectomy and stayed longer than 24 hours in the hospital postoperatively. Operative and postoperative factors like fever, pain, ileus, Surgeonís advice, Patientís wish, long operative time, bleeding from liver bed and dense adhesions at Calotís triangle were assessed. Analysis was done using SPSS version 21.
Results: Most patients were female 62 (82.7%), whereas only 13 (17.3%) were male. Mean age was 40.97Ī12.23 years. Most commonly observed operative factor was long duration of surgery in 8 (66.7%). Most commonly observed postoperative factor was surgeonís advice in 37 (64.9%) patients, followed by patientís preference in 10 (17.5%) patients
Conclusion: Patients undergoing laparoscopic cholecystectomy can be safely discharged home the same day and it should be practiced as a daycare procedure.

Key words: Laparoscopic, cholecystectomy, ambulatory, daycare, safe, postoperative, early, discharge.


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