Day case laparoscopic cholecystectomy in children: A review of 11 cases
Open Access
- 1 January 2014
- journal article
- review article
- Published by Medknow in Journal of Indian Association of Pediatric Surgeons
- Vol. 19 (2), 61-64
- https://doi.org/10.4103/0971-9261.129593
Abstract
The aim of this paper is to study the outcome of day case laparoscopic cholecystectomy (DCLC) in children. A clinical pathway for day care laparoscopic cholecystectomy was followed with emphasis on the analgesia, post-operative nausea and vomiting (PONV), feeding, mobilization, pain scoring and patient satisfaction. Demographic and clinical data were recorded prospectively from March 2013 to November 2013. The setup allowed easy access to an overnight stay if needed. Hospital stay, complications, the need for medical advice after discharge, convalescence and patients satisfaction were analyzed. We admitted 11 children with symptomatic cholelithiasis for day case laparoscopic surgery. There were no intra- or post-operative complications. The incidence of PONV was 0/11. There was no readmission. 4/11 patients complained of shoulder tip pain on follow-up next day. There was no overnight stay. Adoption of a DCLC pathway is feasible and safe for children. Emphasis on adequate pain management and avoidance of PONV results in a high rate of day case surgery equivalent to that achieved in adult practice.Keywords
This publication has 8 references indexed in Scilit:
- Day-Case Laparoscopic Cholecystectomy in Childhood: Outcomes from a Clinical Care PathwayEuropean Journal of Pediatric Surgery, 2012
- Ultrasound-guided bilateral dual transversus abdominis plane block: a new four-point approachActa Anaesthesiologica Scandinavica, 2011
- An audit of ambulatory laparoscopic cholecystectomy in a Singapore institution: are we ready for day-case laparoscopic cholecystectomy?HPB, 2008
- Day-case versus overnight stay for laparoscopic cholecystectomyPublished by Wiley ,2008
- Is there a safe advantage in performing outpatient laparoscopic cholecystectomy in children?Journal of Pediatric Surgery, 2007
- Day-case laparoscopic cholecystectomy: treatment of choice for selected patients?Surgical Endoscopy, 2006
- Feasibility and safety of day care laparoscopic cholecystectomy in a developing countryPublished by Oxford University Press (OUP) ,2003
- Pain after laparoscopySurgical Endoscopy, 1999