Abstract

LOPEZ ESPINOSA, Guillermo; ZAVALZA GONZALEZ, Juan Francisco; PAIPILLA MONROY, Omar  and  LEE ROJO, Sergio. Laparoscopic cholecystectomies performed in Ambulatory Surgery Unit. Cir. gen [online]. 2011, vol.33, n.2, pp.104-110. ISSN 1405-0099.

Objective: To know the feasability of performing ambulatory laparoscopic cholecystectomy in our milieu. Setting: Medical Specialties Unit Tijuana, Health Ministry. Design: Descriptive, observational, prospective, transversal study. Statistical analysis: Percentages as summary measures for qualitative variables. Patients and methods: Patients subjected to elective laparoscopic cholecystectomy from August 2007 to April 2009. We recorded the variables associated to the ambulatory management and the procedure. Results: Of 597 patients, 532 (89%) were women and 65 (11%) were men. Mean age was of 35 years. Most frequent symptoms were pain, 93; vomit, 38%, nausea, 35%. Comorbidities were 20% (118): systemic arterial hypertension (67) and diabetes mellitus (38). Average surgical time was of 48.08 min (range 12-135 min), without mortality. Conversion index was of 2.17%. Major complications related to the surgery were: bleeding in nine cases, liver injury in two, cystic leakage in two, major injuries to the biliary tract in two cases, and finally one injury to the serosa of the stomach. Discharged as ambulatory patients were 92.62%, with an average postsurgical stay of 7.18 h, in 7.38% ambulatory care was not successful. Conclusions: Ambulatory laparoscopic cholecystectomy in our milieu is an efficient procedure with a low index of complications.

Keywords : Cholecystectomy; laparoscopic ambulatory surgery.