Is 24-hour observation necessary after elective laparoscopic cholecystectomy?
Laparoscopic cholecystectomy is now the procedure of choice for symptomatic gallbladder disease. The procedure can be done safely and cost effectively on an outpatient basis, either as same-day surgery or with 24-hour observation. This report represents a retrospective chart review of 60 patients ha...
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| Veröffentlicht in: | Southern medical journal (Birmingham) 1999-11, Vol.92 (11), p.1089-1092 |
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| container_title | Southern medical journal (Birmingham) |
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| creator | CRITCHLOW, J. T PAUGH, L. M |
| description | Laparoscopic cholecystectomy is now the procedure of choice for symptomatic gallbladder disease. The procedure can be done safely and cost effectively on an outpatient basis, either as same-day surgery or with 24-hour observation.
This report represents a retrospective chart review of 60 patients having elective laparoscopic cholecystectomy. A comparison was made between same-day surgery and 24-hour observation.
Of the 60 elective cases, 33 were done as a same-day procedure, and 27 were followed by 24-hour observation. There were no major complications and no return visits to the emergency room (ER) or hospital in either group. The average cost of same-day surgery was $4,940, and the average cost for 24-hour observation was $6,118.
We found no advantage to routinely keeping patients for 24-hour observation. Elective laparoscopic cholecystectomy as same-day surgery is safe and cost effective. |
| doi_str_mv | 10.1097/00007611-199911000-00009 |
| format | Article |
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This report represents a retrospective chart review of 60 patients having elective laparoscopic cholecystectomy. A comparison was made between same-day surgery and 24-hour observation.
Of the 60 elective cases, 33 were done as a same-day procedure, and 27 were followed by 24-hour observation. There were no major complications and no return visits to the emergency room (ER) or hospital in either group. The average cost of same-day surgery was $4,940, and the average cost for 24-hour observation was $6,118.
We found no advantage to routinely keeping patients for 24-hour observation. Elective laparoscopic cholecystectomy as same-day surgery is safe and cost effective.</description><identifier>ISSN: 0038-4348</identifier><identifier>EISSN: 1541-8243</identifier><identifier>DOI: 10.1097/00007611-199911000-00009</identifier><identifier>PMID: 10586836</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Surgical Procedures - economics ; Biological and medical sciences ; Cholecystectomy, Laparoscopic - economics ; Humans ; Length of Stay ; Liver, biliary tract, pancreas, portal circulation, spleen ; Medical sciences ; Middle Aged ; Missouri ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>Southern medical journal (Birmingham), 1999-11, Vol.92 (11), p.1089-1092</ispartof><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-86f36c768db5a0937164a455b59e498acdf398ca2e50a80c3e69473e6d30adaa3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1185885$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10586836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CRITCHLOW, J. T</creatorcontrib><creatorcontrib>PAUGH, L. M</creatorcontrib><title>Is 24-hour observation necessary after elective laparoscopic cholecystectomy?</title><title>Southern medical journal (Birmingham)</title><addtitle>South Med J</addtitle><description>Laparoscopic cholecystectomy is now the procedure of choice for symptomatic gallbladder disease. The procedure can be done safely and cost effectively on an outpatient basis, either as same-day surgery or with 24-hour observation.
This report represents a retrospective chart review of 60 patients having elective laparoscopic cholecystectomy. A comparison was made between same-day surgery and 24-hour observation.
Of the 60 elective cases, 33 were done as a same-day procedure, and 27 were followed by 24-hour observation. There were no major complications and no return visits to the emergency room (ER) or hospital in either group. The average cost of same-day surgery was $4,940, and the average cost for 24-hour observation was $6,118.
We found no advantage to routinely keeping patients for 24-hour observation. Elective laparoscopic cholecystectomy as same-day surgery is safe and cost effective.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Surgical Procedures - economics</subject><subject>Biological and medical sciences</subject><subject>Cholecystectomy, Laparoscopic - economics</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Missouri</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0038-4348</issn><issn>1541-8243</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkEtPAyEUhYnR2Fr9C4aFcYdCeQysjGl8NKlxo-vJHYZJx8wMI8w06b-X2vpgwQ2H73AvByHM6A2jJrulaWWKMcKMMYylE9lJ5ghNmRSM6Lngx2hKKddEcKEn6CzGj51JanWKJoymqrmaopdlxHNB1n4M2BfRhQ0Mte9w56yLEcIWQzW4gF3j7FBvHG6gh-Cj9X1tsV37pG_jkC59u707RycVNNFdHOoMvT8-vC2eyer1abm4XxHLBR2IVhVXNlO6LCRQwzOmBAgpC2mcMBpsWXGjLcydpKCp5U4ZkaW95BRKAD5D1_t3--A_RxeHvK2jdU0DnfNjzJXhnNFMJFDvQZtmjsFVeR_qNn0rZzTfRZn_RJn_RvktmWS9PPQYi9aV_4z77BJwdQAgWmiqAJ2t4x_HtNRa8i_axHvu</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>CRITCHLOW, J. T</creator><creator>PAUGH, L. M</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19991101</creationdate><title>Is 24-hour observation necessary after elective laparoscopic cholecystectomy?</title><author>CRITCHLOW, J. T ; PAUGH, L. M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-86f36c768db5a0937164a455b59e498acdf398ca2e50a80c3e69473e6d30adaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Surgical Procedures - economics</topic><topic>Biological and medical sciences</topic><topic>Cholecystectomy, Laparoscopic - economics</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Missouri</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CRITCHLOW, J. T</creatorcontrib><creatorcontrib>PAUGH, L. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Southern medical journal (Birmingham)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CRITCHLOW, J. T</au><au>PAUGH, L. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is 24-hour observation necessary after elective laparoscopic cholecystectomy?</atitle><jtitle>Southern medical journal (Birmingham)</jtitle><addtitle>South Med J</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>92</volume><issue>11</issue><spage>1089</spage><epage>1092</epage><pages>1089-1092</pages><issn>0038-4348</issn><eissn>1541-8243</eissn><abstract>Laparoscopic cholecystectomy is now the procedure of choice for symptomatic gallbladder disease. The procedure can be done safely and cost effectively on an outpatient basis, either as same-day surgery or with 24-hour observation.
This report represents a retrospective chart review of 60 patients having elective laparoscopic cholecystectomy. A comparison was made between same-day surgery and 24-hour observation.
Of the 60 elective cases, 33 were done as a same-day procedure, and 27 were followed by 24-hour observation. There were no major complications and no return visits to the emergency room (ER) or hospital in either group. The average cost of same-day surgery was $4,940, and the average cost for 24-hour observation was $6,118.
We found no advantage to routinely keeping patients for 24-hour observation. Elective laparoscopic cholecystectomy as same-day surgery is safe and cost effective.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>10586836</pmid><doi>10.1097/00007611-199911000-00009</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0038-4348 |
| ispartof | Southern medical journal (Birmingham), 1999-11, Vol.92 (11), p.1089-1092 |
| issn | 0038-4348 1541-8243 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Ambulatory Surgical Procedures - economics Biological and medical sciences Cholecystectomy, Laparoscopic - economics Humans Length of Stay Liver, biliary tract, pancreas, portal circulation, spleen Medical sciences Middle Aged Missouri Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Is 24-hour observation necessary after elective laparoscopic cholecystectomy? |
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