Cholecystectomy
Conditions
Brief summary
Cold laparoscopic cholecystectomy is the gold standard for the management of symptomatic vesicular stones. There is considerable controversy as to whether it should be practiced in outpatient surgery or as part of inpatient surgery, regarding to patient safety. Minor surgical procedures, such as anal surgery or simple inguinal hernia interventions, were initially considered eligible for an outpatient procedure. Advances in surgical techniques, anesthesia and early rehabilitation have also made it possible to consider more heavy interventions, such as cholecystectomy. The aim of this study is to identify eligible patients for laparoscopic cholecystectomy in outpatient surgery, taking surgical criteria into account.
Interventions
Cholecystectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have had a laparoscopic cholecystectomy with a single cholecystectomy procedure without other associated interventions (bariatric surgery or other)
Exclusion criteria
* Pregnant women * Diabetic patients under insulin treatment * History of major abdominal surgery * Acute cholecystitis as per anatomo-pathological examination
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medical complications after surgery | Up to 1 year after surgery | Medical complications after surgery |
| Surgery duration | Up to 4h | Duration of the surgical intervention |
| Post surgical pain | Up to 1 day after surgery | Pain killer medication administered post surgery, expressed in mg |
| Nausea | Up to 1 day after surgery | Occurence of nausea or vomiting post surgery |
| Post surgery hospitalization duration | Up to 10 days after surgery | Post surgery hospitalization duration |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Data extraction from medical files: medical history | 5 min | Important surgical or medical antecedents of the patient before surgery (data extraction from medical file). |
| Physical status score | 5 min | Physical status score (also called ASA score for American Society of Anesthesiologists score) of the patient before surgery. The ASA score ranges from I (normal healthy patient) to VI (declared brain-dead patient whose organs are being removed for donor purposes) |
| Body mass index | 5 min | Body mass index of the patient before surgery |
| Hospitalisation type | Up to 10 days after surgery | Same day (ambulatory) or not |
| Type of surgery | Up to 4 hours | Surgery performed under nuclear magnetic resonance (RMN) or RMN + endoscopic retrograde cholangiography (CWR) |
Countries
Belgium