Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 5/2004

01-05-2004 | Original article

Outpatient laparoscopic surgery: feasibility and consequences for education and health care costs

Authors: J. Skattum, B. Edwin, E. Trondsen, O. Mjåland, J. Raeder, T. Buanes

Published in: Surgical Endoscopy | Issue 5/2004

Login to get access

Abstract

Background

The purpose of this paper is to describe the outcome of ambulatory laparoscopic cholecystectomy (LC), antireflux surgery, adrenalectomy and splenectomy and possible implications for surgical education and health care costs.

Methods

Prospective, observational study 1994–2003.

Results

The success rate of ambulatory treatment was 83.5% in 1060 LC patients, 80% in 113 antireflux procedures, 100% in 22 laparoscopic adrenalectomies, and 75% in 12 laparoscopic splenectomies. In a total number of 1207 patients, health care costs were reduced by almost $700,000, compared to 1-day hospital stay. The educational potential of same-day surgery is large, due to high numbers of patients, and 80% of our educational potential has been exploited.

Conclusion

Ambulatory laparoscopic surgery is cost effective, patient friendly, and appropriate for surgical resident training. Strict organization of security rules is mandatory.
Literature
1.
Burney, RE, Jones, KR 2002Ambulatory and admitted laparoscopic cholecystectomy patients have comparable outcomes but different functional health status.Surg Endosc16921926CrossRefPubMed
2.
Calland, JF, Tanaka, K, Foley, E, Bovbjerg, VE, Markey, DW, Blome, S, Minasi, JS, Hanks, JB, Moore, MM, Young, JS, Jones, RS, Schirmer, BD, Adams, RB 2001Outpatient laparoscopic cholecystectomy: patient outcomes after implementation of a clinical pathway.Ann Surg233704715CrossRefPubMed
3.
Conaghan, PJ, Figueira, E, Griffin, MAS, Ingham Clark, CL 2002Randomized clinical trial of the effectiveness of emergency day surgery against standard inpatient treatment.Br J Surg89423427CrossRefPubMed
4.
Edwin, B, Raeder, J, Trondsen, E, Kaaresen, R, Buanes, T 2001Out-patient laparoscopic adrenalectomy in patients with Conn’s syndrome.Surg Endosc6589591CrossRef
5.
Edwin, B, Skattum, J, Raeder, J, Trondsen, E, Buanes, T 2003Out-patient laparoscopic splenectomy.Surg Endosc..
6.
Kiely, JM, Brannigan, AE, Foley, E, Cheema, S, O’Brien, W, Delaney, PV 2001Day case laparoscopic cholecystectomy is feasible.Ir J Med Sci1709899PubMed
7.
Kristiansen, VB, Trap, R, Hjortso, NC, Schulze, S 2001Laparoscopic cholecystectomy in outpatient surgery.Ugeskr Laeger16365766579PubMed
8.
Lau, H, Brooks, DC 2001Predictive factors for unanticipated admissions after ambulatory laparoscopic cholecystectomy.Arch Surg13611501153CrossRefPubMed
9.
Lau, H, Brooks, DC 2002Transitions in laparoscopic cholecystectomy. The impact of ambulatory surgery.Surg Endosc16323332CrossRefPubMed
10.
Lau, H, Brooks, DC 2002Contemporary outcomes of ambulatory laparoscopic cholecystectomy in a major teaching hospital.World J Surg2611171121CrossRefPubMed
11.
Mackay, S, Morgan, P, Datta, V, Chang, A, Darzi, A 2002Practice distribution in procedural skills training.Surg Endosc16957961CrossRefPubMed
12.
Mezeri, G, Chung, F 1999Return hospital visits and hospital readmissions after ambulatory surgery.Ann Surg230721727CrossRefPubMed
13.
Mjåland, O, Raeder, J, Aasboe, V, Trondsen, E, Buanes, T 1997Out-patient laparoscopic cholecystectomy.Br J Surg84958961PubMed
14.
Pace, DE, Chiasson, PM, Schlachta, CM, Mamazza, J, Poulin, EC 2002Laparoscopic splenectomy.Surg Endosc16954956CrossRefPubMed
15.
Robinson, TN, Biffl, WL, Moore, EE, Heimbach, JK, Calkins, CM, Burch, JM 2002Predicting failure of outpatient laparoscopic cholecystectomy.Am J Surg184515519CrossRefPubMed
16.
Serralta, A, Garcia-Espinosa, R, Martinez-Casan, P, Hoyas, L, Planells, M 2001Outpatient laparoscopic cholecystectomy. Four years of experience.Rev Esp Enferm Dig93207213PubMed
17.
Siu, WT, Leong, HT, Law, BK, Onsiong, SM, Fung, KH, Li, AC, Tai, YP, Li, MK 2002Outpatient laparoscopic cholecystectomy in Hong Kong: patient acceptance.Surg Laparosc Endosc Percutan Technol12139140CrossRef
18.
Simpson, JP, Savartise, MT, Moore, J 1999Outpatient laparoscopic cholecystectomy: what predicts the need for admission?Am Surg65525528PubMed
19.
Trondsen, E, Edwin, B, Reiertsen, O, Fagertun, H, Rosseland, AR 1995Selection criteria for endoscopic retrograde cholangiopancreaticography (ERCP) in patients with gallstone disease.World J Surg19852857PubMed
20.
Trondsen, E, Edwin, B, Reiertsen, O, Færden, AE, Fagertun, H, Rosseland, AR 1998Prediction of common bile duct stones prior to cholecystectomy.Arch Surg133162166CrossRefPubMed
21.
Trondsen, E, Mjåland, O, Raeder, J, Buanes, T 2000Out-patient laparoscopic Nissens fundoplication.Br J Surg8717081711CrossRefPubMed
22.
Trondsen, E 2002Laparoskopiske galleoperasjoner.Tidsskr Nor Lægeforen2927722773
23.
Walsh, RM, Ponsky, JL, Dumot, J 2002Retained gallbladder/cystic duct remnant calculi as a cause of postcholecystectomy pain.Surg Endosc16981984CrossRefPubMed
24.
Voitk, AJ 1997Is outpatient cholecystectomy safe for high-risk elective patients?Surg Endosc1111471149CrossRefPubMed
25.
Voitk, AJ, Tsao, SGS, Ignatius, S 2001The tail of the learning curve for laparoscopic cholecystectomy.Am J Surg182250253CrossRefPubMed
26.
Voitk, AJ, Ignatius, S, Schouten, DRN, Mustard, RA 1998Is outpatient surgery safe for the higher risk patient?J Gastrointest Surg2156158CrossRefPubMed
Metadata
Title
Outpatient laparoscopic surgery: feasibility and consequences for education and health care costs
Authors
J. Skattum
B. Edwin
E. Trondsen
O. Mjåland
J. Raeder
T. Buanes
Publication date
01-05-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 5/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9180-z

Other articles of this Issue 5/2004

Surgical Endoscopy 5/2004 Go to the issue

Original article

Comparison between the right side and subxiphoid bilateral approaches in performing video-assisted thoracoscopic extended thymectomy for myasthenia gravis

Original article

Laparoscopic nephrectomy for autosomal dominant polycystic kidney disease

Case report

Endoscopic repair of gastrostomy after inadvertent removal of percutaneous endoscopic gastrostomy tube

Original article

Prolonged intraperitoneal versus extraperitoneal insufflation of carbon dioxide in patients undergoing totally endoscopic robot-assisted radical prostatectomy

Original article

Laparoscopic management of common bile duct stones

Case report

Laparoscopic approach for early gastric cancer within a paraesophageal hiatal hernia