Some patients with indications for laparoscopic cholecystectomy can be treated as outpatients. It is important to select these patients carefully in order avoid complications.
Synonym: day surgery laparoscopic cholecystectomy (DSLC)
Patient selection: symptomatic chronic cholecystitis
Selection criteria for same day laparoscopic cholecystectomy:
(1) no common bile duct stones identified and low risk for concomitant bile duct stones
(2) ASA I or II, possibly III
(3) absence of other significant diseases prior to surgery
(4) low body mass index (BMI), use <30 in the implementation
(5) social conditions
(6) informed consent
(7) able to return to hospital quickly if a problem arises
(8) responsible caregiver present
(9) surgeon trained and experienced about risks
Contraindications:
(1) significant acute cholecystitis
(2) pancreatitis
(3) BMI > 32 kg per square meter
(4) ASA IV or V
(5) presence of common bile duct stones or high risk for stones
Challenges:
(1) postoperative nausea and vomiting
(2) pain control
