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- Title
Challenging the anaesthetic technique for laparoscopic cholecystectomy in ambulatory surgery.
- Authors
Bernardo, Sara; Vieira, Artur; Vieira, Vicente
- Abstract
Laparoscopic cholecystectomy (LC) is the gold standard procedure for the surgical treatment of lithiasic gallbladder disease and acute cholecystitis, with this procedure now increasingly performed in the ambulatory setting with minimal morbidity. In Portugal, 17% of LCs are performed in the outpatient setting, which frequently includes an overnight stay. Many different anaesthetic regimens have been suggested, but currently there is still insufficient data to conclude which is superior. We conducted an observational retrospective study that included all patients submitted to elective LC in 2015 with the purpose to evaluate if there were significant differences in the anaesthetic technique used in ambulatory and inpatient settings. A total of 261 patients were analysed. Of all the variables tested, only a few showed statistical significance, those being age, American Society of Anesthesiologists (ASA) physical status, dose of fentanyl administered, neuromuscular and depth of anaesthesia monitoring and post-operative nausea and vomiting (PONV) prophylaxis. Still, we can conclude that there was not a significant difference between the anaesthetic technique in ambulatory and inpatient groups. Consequently, it would be expected that the number of patients proposed for ambulatory LC were to be higher.
- Subjects
PORTUGAL; AMBULATORY surgery; CHOLECYSTECTOMY; ACUTE diseases; CHOLECYSTITIS; GALLBLADDER
- Publication
Day Surgery Australia, 2018, Vol 17, Issue 2, p16
- ISSN
1446-8999
- Publication type
Article