Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno

Background: Laparoscopic cholecystectomy (LC) is a widely used technique in the treatment of gallstone disease. Outpatient laparoscopic cholecystectomy (OLC) is a cost/effective and safe procedure in selected patients. Aim: A pilot program of OLC was conducted in a Chilean Public Hospital to evaluat...

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Autores principales:	Pattillo S,Juan Carlos, Kusanovic B,Rodrigo, Salas V,Patricio, Reyes R,Julio, García-Huidobro H,Ignacio, Sanhueza G,Marcel, Palma D,Alejandro, Báez V,Sergio, Viñuela F,Eduardo, Friant P,Orlando, Galaz E,Isabel, Silberman G,Marcos, Arrese J,Marco, Martínez,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Cholelithiasis Cholecystectomy, laparoscopic Surgical procedures, laparoscopic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000400004
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spelling	oai:scielo:S0034-988720040004000042004-12-13Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chilenoPattillo S,Juan CarlosKusanovic B,RodrigoSalas V,PatricioReyes R,JulioGarcía-Huidobro H,IgnacioSanhueza G,MarcelPalma D,AlejandroBáez V,SergioViñuela F,EduardoFriant P,OrlandoGalaz E,IsabelSilberman G,MarcosArrese J,MarcoMartínez,Jorge Cholelithiasis Cholecystectomy, laparoscopic Surgical procedures, laparoscopic Background: Laparoscopic cholecystectomy (LC) is a widely used technique in the treatment of gallstone disease. Outpatient laparoscopic cholecystectomy (OLC) is a cost/effective and safe procedure in selected patients. Aim: A pilot program of OLC was conducted in a Chilean Public Hospital to evaluate the feasibility and results, including and patients' satisfaction using OLC. Patients and Methods: Patients were eligible for OLC if they were less than 60 years old, had low anesthestetic risk (ASA I-II), normal liver function tests and an abdominal ultrasound showing gallstones or gallbladder polyps with a normal common bile duct. Results: We performed OLC in 357 patients aged 36±10 years, 90% female. Intraoperative complications were observed in 4 (1.1%) patients (uncontrolled bleeding in two and minor biliary tree injuries in two, both requiring conversion to the open technique). Four other patients required conversion due to anatomic reasons (overall conversion rate: 2.2%). Ninety two percent of patients were discharged within 6 hours of the operation. Eight (2.2%) were readmitted because of a mild acute pancreatitis (n=1), biliary leakage (n=1), persistent pain (n=2), vomiting (n=2), and retained stones (n=2). Two (0.6%) patients were re-operated. There was no mortality. Ninety-four percent of 277 patients (77.6%), who answered a Satisfaction Survey, evaluated OLC procedure with a high degree of satisfaction. Conclusion: OLC is a safe and feasible procedure in selected gallstone patients. The procedure has good outcomes and a high degree of patient satisfaction. A wide use of OLC should reduce both direct and indirect costs of surgical treatment of gallstone disease (Rev Méd Chile 2004; 132: 429-36)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.4 20042004-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000400004es10.4067/S0034-98872004000400004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cholelithiasis Cholecystectomy, laparoscopic Surgical procedures, laparoscopic
spellingShingle	Cholelithiasis Cholecystectomy, laparoscopic Surgical procedures, laparoscopic Pattillo S,Juan Carlos Kusanovic B,Rodrigo Salas V,Patricio Reyes R,Julio García-Huidobro H,Ignacio Sanhueza G,Marcel Palma D,Alejandro Báez V,Sergio Viñuela F,Eduardo Friant P,Orlando Galaz E,Isabel Silberman G,Marcos Arrese J,Marco Martínez,Jorge Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno
description	Background: Laparoscopic cholecystectomy (LC) is a widely used technique in the treatment of gallstone disease. Outpatient laparoscopic cholecystectomy (OLC) is a cost/effective and safe procedure in selected patients. Aim: A pilot program of OLC was conducted in a Chilean Public Hospital to evaluate the feasibility and results, including and patients' satisfaction using OLC. Patients and Methods: Patients were eligible for OLC if they were less than 60 years old, had low anesthestetic risk (ASA I-II), normal liver function tests and an abdominal ultrasound showing gallstones or gallbladder polyps with a normal common bile duct. Results: We performed OLC in 357 patients aged 36±10 years, 90% female. Intraoperative complications were observed in 4 (1.1%) patients (uncontrolled bleeding in two and minor biliary tree injuries in two, both requiring conversion to the open technique). Four other patients required conversion due to anatomic reasons (overall conversion rate: 2.2%). Ninety two percent of patients were discharged within 6 hours of the operation. Eight (2.2%) were readmitted because of a mild acute pancreatitis (n=1), biliary leakage (n=1), persistent pain (n=2), vomiting (n=2), and retained stones (n=2). Two (0.6%) patients were re-operated. There was no mortality. Ninety-four percent of 277 patients (77.6%), who answered a Satisfaction Survey, evaluated OLC procedure with a high degree of satisfaction. Conclusion: OLC is a safe and feasible procedure in selected gallstone patients. The procedure has good outcomes and a high degree of patient satisfaction. A wide use of OLC should reduce both direct and indirect costs of surgical treatment of gallstone disease (Rev Méd Chile 2004; 132: 429-36)
author	Pattillo S,Juan Carlos Kusanovic B,Rodrigo Salas V,Patricio Reyes R,Julio García-Huidobro H,Ignacio Sanhueza G,Marcel Palma D,Alejandro Báez V,Sergio Viñuela F,Eduardo Friant P,Orlando Galaz E,Isabel Silberman G,Marcos Arrese J,Marco Martínez,Jorge
author_facet	Pattillo S,Juan Carlos Kusanovic B,Rodrigo Salas V,Patricio Reyes R,Julio García-Huidobro H,Ignacio Sanhueza G,Marcel Palma D,Alejandro Báez V,Sergio Viñuela F,Eduardo Friant P,Orlando Galaz E,Isabel Silberman G,Marcos Arrese J,Marco Martínez,Jorge
author_sort	Pattillo S,Juan Carlos
title	Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno
title_short	Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno
title_full	Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno
title_fullStr	Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno
title_full_unstemmed	Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno
title_sort	colecistectomía laparoscópica ambulatoria: una experiencia factible en un hospital público chileno
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000400004
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Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno

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