ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2021
[Which patient needs controls of laboratory values after elective laparoscopic cholecystectomy?-Can a score help?]
Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- A German's Perspective on the Way toward Ambulatory Laparoscopic Cholecystectomy: A Postoperative Questionnaire.Visceral medicine · 2025Article
- [The clinical importance of the critical view of safety in laparoscopic cholecystectomy].Chirurgie (Heidelberg, Germany) · 2023Article
- [The COVID-19 pandemic had significant impact on duration of surgery and hospitalization time for patients after cholecystectomy].Chirurgie (Heidelberg, Germany) · 2023Article
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8 authors.
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Abstract
backgroundLaparoscopic cholecystectomy is nearly exclusively carried out as an inpatient operation in Germany. The aim of the study was to evaluate for which patients postoperative laboratory control values are necessary.
methodsThis retrospective analysis included 100 patients who underwent elective laparoscopic cholecystectomy. A scoring and data collection sheet was developed, which enables a risk stratification. Using the scoring system patients can achieve between 3 and 15 points.
resultsIn total 100 patients were included in the study. Of the patients 64 (group 1) had between 3 and 8 points, 29 patients (group 2) between 9 and 11 points and 7 patients (group 3) between 12 and 15 points. In comparison to group 1 the C‑reactive protein values as well as the duration of hospital stay were significantly increased in group 2 and group 3 (p > 0.05). In group1 a total of 60 patients (93.7%) were discharged regularly on postoperative days 1-3. In group 2 there were 17 patients (58.6%) who could be discharged with unremarkable blood values and in group 3 there were 3 patients (42.8%). In the total collective hospital discharge without a laboratory control of blood values would have been justified in 80% of the patients.
conclusionA postoperative control of laboratory blood values is not routinely necessary for patients after elective laparoscopic cholecystectomy with a score <9 points.
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