Overnight Observation Post Laparoscopic Cholecystectomy

Khulood A.R. Shukri 1, Tarek Noaman 2, Dr.A. kafee shamsan 3

الملخص

The gallbladder (GB) diseases have undergone major changes in its surgical management during the last three decades.1,2 Starting from open cholecystectomy, which in 1882 the first cholecystectomy is performed.3,4 Then a diverse technique for cholecystectomy was instituted, propagated by surgeons in France and the United States, also described briefly that it involves the use of a laparoscope and instrument insertion through trocars, thereby avoiding the classic incision.5 Based on the initial experiences of the surgeons with LC, they have become increasingly confident of discharging patients of all ages early, which saves considerable monetary and human resources.6 As LC is minimally invasive surgery, it facilitates faster patient recovery with minimal nursing assistance, so it is ideal to be listed as day-case procedures.6 Although there is lack of data associated with DCLC from developing countries,7,8 a recent review performed in a developing country reported that the choice of admitting patients overnight was mostly due to patients’ preference, more than any clinical reason.7 Review of outcomes for LC reconfirms the established principle that LC is safe and may be performed with minimum morbidity pooled prevalence range(1.6–5.3%)and mortality (0.08–0.14%).9 The aim of this is to identify clinical and surgical determinants if patient need to be kept either as 24-hour observation or same day discharge home post elective laparoscopic cholecystectomy