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dc.creatorPattillo S,Juan Carlos
dc.creatorKusanovic B,Rodrigo
dc.creatorSalas V,Patricio
dc.creatorReyes R,Julio
dc.creatorGarcía-Huidobro H,Ignacio
dc.creatorSanhueza G,Marcel
dc.creatorPalma D,Alejandro
dc.creatorBáez V,Sergio
dc.creatorViñuela F,Eduardo
dc.creatorFriant P,Orlando
dc.creatorGalaz E,Isabel
dc.creatorSilberman G,Marcos
dc.creatorArrese J,Marco
dc.creatorMartínez,Jorge
dc.date2004-04-01
dc.date.accessioned2019-11-14T12:59:20Z
dc.date.available2019-11-14T12:59:20Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000400004
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/119419
dc.descriptionBackground: Laparoscopic cholecystectomy (LC) is a widely used technique in the treatment of gallstone disease. Outpatient laparoscopic cholecystectomy (OLC) is a cost/effective and safe procedure in selected patients. Aim: A pilot program of OLC was conducted in a Chilean Public Hospital to evaluate the feasibility and results, including and patients' satisfaction using OLC. Patients and Methods: Patients were eligible for OLC if they were less than 60 years old, had low anesthestetic risk (ASA I-II), normal liver function tests and an abdominal ultrasound showing gallstones or gallbladder polyps with a normal common bile duct. Results: We performed OLC in 357 patients aged 36±10 years, 90% female. Intraoperative complications were observed in 4 (1.1%) patients (uncontrolled bleeding in two and minor biliary tree injuries in two, both requiring conversion to the open technique). Four other patients required conversion due to anatomic reasons (overall conversion rate: 2.2%). Ninety two percent of patients were discharged within 6 hours of the operation. Eight (2.2%) were readmitted because of a mild acute pancreatitis (n=1), biliary leakage (n=1), persistent pain (n=2), vomiting (n=2), and retained stones (n=2). Two (0.6%) patients were re-operated. There was no mortality. Ninety-four percent of 277 patients (77.6%), who answered a Satisfaction Survey, evaluated OLC procedure with a high degree of satisfaction. Conclusion: OLC is a safe and feasible procedure in selected gallstone patients. The procedure has good outcomes and a high degree of patient satisfaction. A wide use of OLC should reduce both direct and indirect costs of surgical treatment of gallstone disease (Rev Méd Chile 2004; 132: 429-36)
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872004000400004
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.132 n.4 2004
dc.subjectCholelithiasis
dc.subjectCholecystectomy, laparoscopic
dc.subjectSurgical procedures, laparoscopic
dc.titleColecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno


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