Huairong Tang1, Aihua Dong2, Lunan Yan2. 1. Health Management Center, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China. Electronic address: tanghuironghxyy@163.com. 2. Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.
Abstract
BACKGROUND: Laparoscopic cholecystectomies are being increasingly performed as a day surgery procedure. AIM: To systematically assess the safety and efficacy of laparoscopic cholecystectomy as a day surgery procedure compared to overnight stay. METHODS: Randomized controlled trials and clinical controlled trials involving day surgery laparoscopic cholecystectomy were included in a systematic literature search. Two authors independently assessed the studies for inclusion and extracted the data. A meta-analysis was conducted to estimate the safety and feasibility of day surgery compared to overnight stay laparoscopic cholecystectomy. RESULTS: Twelve studies were selected for our meta-analysis. The meta-analysis showed that there was no significant difference between the two groups on morbidity (P=0.65). The mean in-hospital admission and readmission rates were 13.1% and 2.4% in the day surgery group, respectively. The two groups had similar prolonged hospitalization (P=0.27), readmission rate (P=0.58) and consultation rate (P=0.73). In addition, there was no significant difference in the visual analogue scale score, postoperative nausea and vomiting scale, time to return to activity and work between the two groups (P>0.05). CONCLUSIONS: Currently available evidence demonstrates that laparoscopic cholecystectomy can be performed safely in selected patients as a day surgery procedure, though further studies are needed.
BACKGROUND: Laparoscopic cholecystectomies are being increasingly performed as a day surgery procedure. AIM: To systematically assess the safety and efficacy of laparoscopic cholecystectomy as a day surgery procedure compared to overnight stay. METHODS: Randomized controlled trials and clinical controlled trials involving day surgery laparoscopic cholecystectomy were included in a systematic literature search. Two authors independently assessed the studies for inclusion and extracted the data. A meta-analysis was conducted to estimate the safety and feasibility of day surgery compared to overnight stay laparoscopic cholecystectomy. RESULTS: Twelve studies were selected for our meta-analysis. The meta-analysis showed that there was no significant difference between the two groups on morbidity (P=0.65). The mean in-hospital admission and readmission rates were 13.1% and 2.4% in the day surgery group, respectively. The two groups had similar prolonged hospitalization (P=0.27), readmission rate (P=0.58) and consultation rate (P=0.73). In addition, there was no significant difference in the visual analogue scale score, postoperative nausea and vomiting scale, time to return to activity and work between the two groups (P>0.05). CONCLUSIONS: Currently available evidence demonstrates that laparoscopic cholecystectomy can be performed safely in selected patients as a day surgery procedure, though further studies are needed.
Authors: David Metcalfe; Cheryl K Zogg; Elliott R Haut; Timothy M Pawlik; Adil H Haider; Daniel C Perry Journal: Int J Epidemiol Date: 2019-12-01 Impact factor: 7.196
Authors: Maria G Sacco Casamassima; Colin Gause; Jingyan Yang; Seth D Goldstein; Abhishek Swarup; Fizan Abdullah Journal: Pediatr Surg Int Date: 2016-04-01 Impact factor: 1.827