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
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
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