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DAY-CARE VERSUS ROUTINE LAPAROSCOPIC CHOLECYSTECTOMY

Laparoscopic cholecystectomy has been performed as a day-care procedure for many years. Few studies
have been conducted with primary focus on patient acceptance and preferences in terms of quality of life
for this practice compared with overnight stay. Data from 100 patients with symptomatic gallstones randomized to laparoscopic
cholecystectomy performed either as a day-care procedure or with routine were analyzed. Complications, admissions, and
readmissions were assessed. Forty-eight (92 per cent) of 52 patients in day-care group were discharged 4– 8 h after the operation.
Forty-two (88 per cent) of 48 in the overnight group went home on routine basis after surgery. The overall conversion rate was 2 per
cent. Two patients had complications after surgery, both in the day-care group. No patient in either group was readmitted. There
was no signicant difference in total quality of life score between the two groups.