Journal of Minimal Access Surgery

SYSTEMATIC REVIEW
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Year : 2022  |  Volume : 18  |  Issue : 2  |  Page : 176--180

Patient selection for ambulatory laparoscopic cholecystectomy: A systematic review

Weiwei Chen, Qiang Wu, Ning Fu, Zhiming Yang, Jingcheng Hao 
 Department of Hepatobiliary and Vascular Surgery, The First Affiliated Hospital of Chengdu Medical College, Xindu, Chengdu, China

Correspondence Address:
Jingcheng Hao
Department of Hepatobiliary and Vascular Surgery, The First Affiliated Hospital of Chengdu Medical College, Baoguang Avenue 278#, Xindu, Chengdu 610500, Sichuan
China

Background: Currently, there is no consensus on patient selection for ambulatory laparoscopic cholecystectomy (LC). This study is a systematic review of previously published patient selection for ambulatory LC. Methods: A comprehensive search was done in PubMed, Web of Science, Embase and Google Scholar Database up to March 2020 to summarise previously reported medical or surgical selection criteria used for inclusion and exclusion of patients, as well as successful same-day discharge rates and readmission rate after discharge. Results: Fifty-nine studies with a total of 13,219 patients were included in this systematic review. In total, the median same-day discharge rate was 90% (range: 63%–99.4%), and median readmission rate was 2.22% (range: 0%–16.9%). The most considered medical criteria were American Society of Anesthesiologists classification I and II, age <70, and body mass index <35. Surgical criteria varied greatly. The top three accessible exclusion variables were (1) common bile duct stones, cholangitis, or jaundice (27 publications, 45.8%); (2) history of abdominal surgery (12 publications, 20.3%) and (3) history of pancreatitis (9 publications, 15.3%). Conclusion: The results of the current study showed the variable patient selection in different centres, the medical aspect criteria may be expanded under adequate pre-anaesthetic assessment and preparation and the surgical aspect criteria should include more laboratory or imaging parameters to ensure the surgical safety.


How to cite this article:
Chen W, Wu Q, Fu N, Yang Z, Hao J. Patient selection for ambulatory laparoscopic cholecystectomy: A systematic review.J Min Access Surg 2022;18:176-180


How to cite this URL:
Chen W, Wu Q, Fu N, Yang Z, Hao J. Patient selection for ambulatory laparoscopic cholecystectomy: A systematic review. J Min Access Surg [serial online] 2022 [cited 2022 May 16 ];18:176-180
Available from: https://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=2;spage=176;epage=180;aulast=Chen;type=0