Acute Cholecystitis, Acute Cholecystitis With Obstruction
Conditions
Keywords
Ambulatory Emergency Cholecystectomy
Brief summary
Acute cholecystitis is a common surgical emergency that, if left untreated, can result in significant morbidity and even death. It is characterized by inflammation of the gallbladder, usually caused by gallstones. The timing of surgical intervention plays a crucial role in determining patient prognosis, including the risk of complications, length of hospital stay, and overall recovery. Nowadays, the gold standard for its treatment is the laparoscopic cholecystectomy. In appropriately selected cases, laparoscopic cholecystectomy can be performed on an outpatient basis, with good results in terms of efficacy and safety.
Detailed description
Ambulatory laparoscopic cholecystectomy is the gold standard method for managing uncomplicated cholecystopathy. In the case of an emergency cholecystectomy, could it be managed on an ambulatory basis?
Interventions
PROCEDURELaparoscopic Cholecystectomy
Emergency Laparoscopic Cholecystectomy, on an ambulatory basis
Sponsors
Hospital General de Chihuahua - Dr. Salvador Zubirán Anchondo
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Acute cholecystitis managed as an emergency, on an ambulatory basis
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with cholecystitis from the emergency unit * Patients who agree to participate in the study and have signed informed consent * Patients evaluated by anesthesiology with an ASA score of 3 or lower * Patients managed via laparoscopy * Absence of oral anticoagulation * BMI \<35
Exclusion criteria
* Patients with ASA IV or higher * Patients who decide to withdraw from the study * Patients who, for any reason, end up in the intensive care unit or are unable to complete the satisfaction survey * Diagnosis of choledocholithiasis * Patients with a diagnosis or suspected pancreatitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative satisfaction (Satiscore) | From postoperative recuperation of consciousness to discharge, on the same day, and at the first postoperative outpatient consultation one week after discharge. | Patient satisfaction is an attitude resulting from a person's general orientation towards the total experience of health care, in this case the quality of service provided at the surgical wards, using a simplification of the Satiscore scale, where a score of 10-15 points is considered to have a high degree of satisfaction; a score of 16-25 points is considered to have a medium-moderate degree of satisfaction; and a score \> 26 points is considered to indicate dissatisfaction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Return to oral intake. | From the immediate postoperative period to discharge. | Clinical process of shifting a patient from nil-by-mouth to eating and drinking by mouth. |
| Spontaneous urination | From the immediate postoperative period to discharge. | The patient's ability to voluntarily initiate and complete the process of passing urine without assistance from a catheter or other external intervention following a surgical procedure. |
| Return of bowel function. | From the postoperative period to discharge. | The spontaneous expulsion of gas (flatus) after surgery. |
| Penrose drain | From the postoperative period to discharge, in the case it was left in place. | The quantity of drainage is typically measured by the volume (milliliters/mL) of fluid collected on the surrounding sterile dressings. |
| Postoperative pain. | From the postoperative period to discharge. | Acute pain occurring immediately after a surgical procedure, resulting from tissue damage (surgical incision), inflammation, or neural injury, measured with the help of a numerical scale from 0 to 10. |
Countries
Mexico
Contacts
STUDY_CHAIRRubén Cuevas-Martínez, MD, MSc
Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo"
Outcome results
None listed