An Effective Approach to Improving Day-Case Rates following Laparoscopic Cholecystectomy

Joint Authors

Sanders, G.
Werrett, G.
Wheatley, T.
Hill, M.
Clarke, M. G.

Source

Minimally Invasive Surgery

Issue

Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2011-04-07

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Medicine

Abstract EN

Background.

Day-case laparoscopic cholecystectomy (LC) is a safe and cost-effective treatment for gallstones.

In 2006, our institution recorded an 86% laparoscopic, 10% day-case, and 5% readmission rate.

A gallbladder pathway was therefore introduced in 2007 with the aim of increasing daycase rates.

Methods.

Patients with symptomatic gallstones, proven on ultrasound, were referred to a specialist-led clinic.

Those suitable for surgery were consented, preassessed, and provided with a choice of dates.

All defaulted to day case unless deemed unsuitable due to comorbidity or social factors.

Results.

The number of cholecystectomies increased from 464 in 2006 to 578 in 2008.

Day-case rates in 2006, 2007, 2008, and June 2009 were 10%, 20%, 30%, and 61%, respectively.

Laparoscopic and readmission rates remained unchanged.

Conversion rates for elective cholecystectomy fell from 6% in 2006 to 3% in 2009.

Conclusions.

Development of a gallbladder pathway increased day-case rates sixfold without an associated increase in conversion or readmission rates.

American Psychological Association (APA)

Clarke, M. G.& Wheatley, T.& Hill, M.& Werrett, G.& Sanders, G.. 2011. An Effective Approach to Improving Day-Case Rates following Laparoscopic Cholecystectomy. Minimally Invasive Surgery،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-481144

Modern Language Association (MLA)

Clarke, M. G.…[et al.]. An Effective Approach to Improving Day-Case Rates following Laparoscopic Cholecystectomy. Minimally Invasive Surgery No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-481144

American Medical Association (AMA)

Clarke, M. G.& Wheatley, T.& Hill, M.& Werrett, G.& Sanders, G.. An Effective Approach to Improving Day-Case Rates following Laparoscopic Cholecystectomy. Minimally Invasive Surgery. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-481144

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-481144