ArticleChirurgie (Heidelberg, Germany)2022
[After inconspicuous elective laparoscopic cholecystectomy patients can be discharged without control of laboratory parameters].
Article in Chirurgie (Heidelberg, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- [Is histological examination of every gallbladder really necessary? : A prospective and multicenter evaluation of 1040 cases].Chirurgie (Heidelberg, Germany) · 2026Article
- IDEAL-compliant implementation of the DexterInnovative surgical sciences · 2025Article
- Value and relevance of routine postoperative blood sample analysis after general surgery-a single centre analysis of 1198 patients.Langenbeck's archives of surgery · 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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Authors and funding
6 authors.
Funding
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Abstract
backgroundThe importance of postoperative control of laboratory parameters after elective laparoscopic cholecystectomy (lap-CHE) is controversial. The aim of this prospective study was to find out whether patients can be safely discharged following an inconspicuous perioperative course after lap-CHE without control of the laboratory parameters.
methodAll patients with a lap-CHE from September 2020 to March 2022 were screened and included in the study after providing informed consent. The course was followed in a structured way with a scoring system (value 3-15 points) and questionnaire. A score of ≤ 9 reflected an inconspicuous perioperative course. Approval was obtained from the ethics committee of Heidelberg University (S-026/2020).
resultsA total of 275 patients who underwent gall bladder surgery were documented of which 220 (80%) patients underwent an elective lap-CHE and 56 (25%) of the patients were included in the study. Of the patients 51 with a score of ≤ 9 were discharged without providing a blood sample. The average age of the patients was 50.8 years, the average duration of hospital stay was 2.6 days and 40 out of 51 (78.4%) patients could be postoperatively questioned. None of the patients suffered from relevant complications after being discharged. Out of 40 patients 27 (67.5) visited a general practitioner again postoperatively and 4 were readmitted as inpatients due to other operations and an endoscopic intervention. All patients were satisfied with the course of surgery.
conclusionPatients with an inconspicuous course after elective lap-CHE (score ≤ 9 points) can be discharged without a postoperative control of laboratory parameters.
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