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首页> 外文期刊>Surgical Endoscopy >Outpatient laparoscopic cholecystectomy. Outcomes of 847 planned procedures.
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Outpatient laparoscopic cholecystectomy. Outcomes of 847 planned procedures.

机译：门诊腹腔镜胆囊切除术。 847个计划程序的结果。

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BACKGROUND: Cholecystectomy is now being performed on an outpatient basis at many centers. The purpose of this study was to review the results of our large experience with this procedure. METHODS: Between 1990 and 1997, 2288 patients underwent laparoscopic cholecystectomy at our clinic. A total of 847 (37%) were scheduled as outpatients. The selection criteria for planned outpatient laparoscopic cholecystectomy called for nonfrail patients with an ASA < 4 who were living < 2 h from the hospital. All patients received detailed preoperative instruction about outpatient laparoscopic cholecystectomy. A questionnaire was sent to 309 patients to sample their opinions. RESULTS: Since 1993, we have increased the number of planned outpatient cholecystectomies performed at our clinic, but the percentage of cholecystectomies completed on an outpatient basis has remained approximately 60%. A total of 547 of 847 operations scheduled as outpatient procedures (74.5%) were completed as planned, and 204 patients (24%) were kept in the hospital overnight. Twenty-seven (3%) were converted to open procedures. Eighteen laparoscopic patients (2%) stayed > 1 day (range, 2-20). None of the patients died. Of the 142 patients (46%) who completed our opinion survey, 66% were happy with their experience, 32% would like to have stayed in the hospital, and 2% were undecided. CONCLUSION: Successful same-day surgery requires proper patient instruction, appropriate patient selection, and a low threshold to convert patients to inpatient status when the situation warrants. No major complications occurred as a result of same-day discharge, and two-thirds of the patients said that they preferred outpatient surgery.
机译：背景：目前在许多中心都在门诊进行胆囊切除术。这项研究的目的是回顾我们对此程序的丰富经验的结果。方法：在1990年至1997年之间，我们的诊所对2288例患者进行了腹腔镜胆囊切除术。计划总共847位（37％）门诊患者。计划门诊腹腔镜胆囊切除术的选择标准要求ASA <4且生活时间<2 h的非体弱患者。所有患者均接受了有关门诊腹腔镜胆囊切除术的详细术前指导。向309名患者发送了调查表，以收集他们的意见。结果：自1993年以来，我们增加了在诊所进行的计划门诊胆囊切除术的数量，但在门诊基础上完成的胆囊切除术的百分比仍保持约60％。按计划完成了847项按计划进行的门诊手术中的547项（占74.5％），有204名患者（占24％）被留在医院过夜。二十七（3％）被转换成开放程序。 18例腹腔镜患者（2％）停留> 1天（范围2-20）。没有患者死亡。在完成我们的意见调查的142例患者中（46％），66％的患者对自己的经历感到满意，32％的患者希望留在医院，2％的患者不确定。结论：成功的当日手术需要适当的患者指导，适当的患者选择以及在情况允许时将患者转换为住院状态的低门槛。当日出院没有引起重大并发症，三分之二的患者表示他们更喜欢门诊手术。

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