ArticleSurgical endoscopy2018
Same day discharge for benign laparoscopic hiatal surgery: a feasibility analysis.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Outcomes and Safety of Same-Day Discharge Following Minimally Invasive Abdominal Surgery: A Systematic Review.Cureus · 2026Review
- Trends in Emergency Department Utilization After Metabolic and Bariatric Surgery in the United States.HCA healthcare journal of medicine · 2026Article
- Ambulatory bariatric surgery: a prospective single-center experience.Surgical endoscopy · 2024Article
- Same day discharge after minimally invasive adrenalectomy: a national study.Surgical endoscopy · 2023Article
- Ambulatory sleeve gastrectomy: a prospective feasibility and comparative study of early postoperative morbidity.Surgical endoscopy · 2023Article
- Same-Day Home Recovery for Benign Foregut Surgery.JAMA surgery · 2022Article
- Same-day discharge for laparoscopic Heller myotomy.Surgical endoscopy · 2022Article
- Quality of recovery assessment of day case and multiday stay patients undergoing elective laparoscopic cholecystectomy.Turkish journal of surgery · 2021Article
- Day case superficial parotidectomy-does it work?European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Article
- Feasibility analysis for the development of a video-assisted thoracoscopic (VATS) lobectomy 23-hour recovery pathway.Canadian journal of surgery. Journal canadien de chirurgie · 2020Article
- Post-operative complications and readmissions following outpatient elective Nissen fundoplication.Surgical endoscopy · 2020Article
- Patterns of hospital utilization after elective minimally invasive foregut surgery.Surgical endoscopy · 2020Article
- Healthcare spending and utilization following antireflux surgery: examining costs and reasons for readmission.Surgical endoscopy · 2020Article
- Clinic-day surgery for children: a patient and staff perspective.Pediatric surgery international · 2018Article
- Gastrothorax: A case of mistaken identity.International journal of surgery case reports · 2018Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvances in minimally invasive surgery and the development of enhanced recovery pathways have favored the spread of day-surgery programs. Despite laparoscopic approaches being accepted as the standard of care for benign hiatal diseases, safety and feasibility of same day discharges for laparoscopic hiatal surgeries other than fundoplication has yet to be established.
objectiveThis study aimed to assess the feasibility of same day discharge for primary and revisional laparoscopic hiatal surgeries including paraesophageal hernia repairs (PEHR), fundoplication for reflux, and Heller myotomy (±diverticulectomy).
methodsA retrospective cohort study including all patients undergoing elective laparoscopic hiatal procedures in the division of Thoracic surgery between 2011 and 2016 at McGill University Health Centre was performed. Planned day-surgery (DAYCASE) was compared to planned inpatient (INPATIENT) cohorts with respect to operative and postoperative outcomes, length of stay, readmission, and emergency room visits.
resultsA total of 261 patients were identified, 161 female (62%); median age 62 (20). The case distribution was: PEHR (123; 47.1%), Heller myotomy (94;36%, 7 diverticulectomy), and fundoplication (44; 16.9%). Twenty patients had revisional procedures (7.7%). Same day discharge was planned in 98 cases (38%) and was successful in 80 (81.6%). Proportion of DAYCASE increased form 12% prior to 2013 to 67% in 2016. INPATIENTs were older (median 66 vs. 60 years), and had a higher proportion of PEHR (55 vs. 34%), p < 0.05. Both cohorts were comparable in gender proportion, ASA classification, and length of surgery. Complications, readmission, and emergency visits did not differ between the two cohorts. On multivariate analysis, female gender (OR 37, 95% CI 1.46-936, p = 0.028), surgery beginning after noon (OR 5.4, 95% CI 1.1-26.9, p = 0.038), intraoperative complications (OR 20.4 95% CI 1.5-286, p = 0.025), and postoperative complications (OR 52.1, 95% CI 4.5-602, p = 0.002) were independently associated with unplanned admission.
conclusionsDay-case surgery for complex laparoscopic hiatal procedures is feasible and can be achieved in a significant number of patients without compromising safety.
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