ArticleMinimally invasive surgery2018
'True Day Case' Laparoscopic Cholecystectomy in a High-Volume Specialist Unit and Review of Factors Contributing to Unexpected Overnight Stay.
Article in Minimally invasive surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- Evaluating the feasibility and safety of 48-h short-stay pathway for robot-assisted laparoscopic partial nephrectomy: a propensity score-matched analysis.International urology and nephrology · 2026Article
- Factors associated with conversion from day-case to in-patient elective laparoscopic cholecystectomy surgery across England: an observational study using administrative data.Surgical endoscopy · 2026Observational
- Optimizing ambulatory groin hernia repair in public healthcare frameworks: a prospective analysis of predictive factors for discharge failure.Frontiers in surgery · 2026Article
- The Impact of Preoperative Risk Factors on Delayed Discharge in Day Surgery: A Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- [Outpatient cholecystectomy as the next step? : Discussion and possible criteria in the selection of patients].Chirurgie (Heidelberg, Germany) · 2024Review
- Propensity score-matched comparison of safety outcomes between high-risk and low-risk patients towards early hospital discharge after laparoscopic cholecystectomy.Annals of medicine and surgery (2012) · 2023Article
- 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
- Day case laparoscopic cholecystectomy at Kilimanjaro Christian Medical Centre, Tanzania.Surgical endoscopy · 2021Article
- [Which patient needs controls of laboratory values after elective laparoscopic cholecystectomy?-Can a score help?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Implementation of a 23-h surgery model in a tertiary care hospital: a safe and feasible model with high patient satisfaction.BJS open · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLaparoscopic cholecystectomy (LC) is the gold standard treatment for gallstones. British Association of Day Case Surgery recommends at least 60% of LCs be performed as day cases. The aim of this study was to assess our rate of true day case LCs and review factors preventing same-day discharge.
methodsWe prospectively collected data of all elective LCs performed in a district general hospital over 32 months.
results500 patients underwent LC during this period; 438 (88.2%) patients were planned day cases and 59 patients (11.8%) planned overnight stays. Of the planned day cases, 75.8% (n=332) were discharged on the same day and 106 (24.2%) had unexpected overnight stay (UOS). Most patients with BMI >35 and ASA3 planned day case patients were successfully discharged. Drain insertion, longer operations, and late recovery departure were the main reasons for UOS. There were more complications in this group compared to day cases.
conclusionsThis unit has a high 'true day case' rate of 75.8%. High BMI and ASA3 should not be absolute contraindications to day case surgery. The majority of unexpected overnight stays are unavoidable but may be reduced by patient selection, stringent preoperative assessment, operation scheduling, and reduction in unnecessary drain insertion.
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