Outpatient laparoscopic cholecystectomy (LC) is safe and feasible, but factors related to the failure of outpatient surgery are poorly defined.
Researchers from the United States hypothesized that patients, in whom same day discharge (SDD) is unlikely, may be identified preoperatively.
They assessed 387 consecutive patients scheduled for elective LC. These patients were prospectively enrolled in an outpatient clinical pathway.
|A factor predicting more than 50% failure of same day discharge was age over 50 years.|
|American Journal of Surgery|
The team found that a total of 269 (70%) patients successfully underwent outpatient LC.
They identified factors related to failure of SDD as age, American Society of Anesthesiology (ASA) class, surgery start time, and duration of surgery.
However, body mass index, liver function tests, and ultrasound findings did not predict failure of SDD.
In addition, 3 factors predicting more than 50% failure of SDD were age over 50 years, ASA class 3 or more, and surgery start time later than 1pm.
Dr Thomas Robinson's team concluded, "Outpatient LC is feasible in a large county hospital".
"These data may be used in scheduling cases and counseling patients".