ISSN:
1365-2044
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
The feasibility of clay ease laparoscopic cholecystectomy was assessed in unselected patients using a standard anaesthetic protocol. Postoperative pain and nausea were assessed at 6 and 24 h postoperatively (visual analogue scale, range 0-10). Thirty-two patients were studied (23 female. 9 male, mean age 49.6 years). The mean duration of surgery was 68 mitt. At 6 h after surgery, 10 patients (31%) had no pain at rest. For the group as a whole, the median pain score was 3 at rest (range 0-6), 4 on movement (0 9), and 5 on coughing (0 9) and eight patients (25%) were nauseated. At 24 It, 15 (46.9%) had no pain at rest. For the group as a whole, the median pain score was I at rest (0-7), 3 (0-6) on movement and 3 on coughing (0 9). The same eight patients were nauseated. Ten patients (31.3%) were judged fit for discharge at 6h, and 28 (87.5%) by 24h. There was no statistical difference in mean age or duration of surgery in those judged fit for early discharge compared to the study group as a whole. Nausea was an important factor in those unfit for discharge at 24 It. Selection criteria might improve these figures. Front the results of our study, 24 h admission is a more realistic goal and will be suitable for most patients requiring laparoscopic cholecystectomy.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.1365-2044.1996.tb14967.x
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