Patient Satisfaction After Ambulatory Emergency Laparoscopic Cholecystectomy

Ambulatory Management of Emergency Laparoscopic Cholecystectomy and Patient Satisfaction.

Acute cholecystitis is a common surgical emergency that, if left untreated, can result in significant morbidity and even death. It is characterized by inflammation of the gallbladder, usually caused by gallstones. The timing of surgical intervention plays a crucial role in determining patient prognosis, including the risk of complications, length of hospital stay, and overall recovery. Nowadays, the gold standard for its treatment is the laparoscopic cholecystectomy. In appropriately selected cases, laparoscopic cholecystectomy can be performed on an outpatient basis, with good results in terms of efficacy and safety.

Ambulatory laparoscopic cholecystectomy is the gold standard method for managing uncomplicated cholecystopathy. In the case of an emergency cholecystectomy, could it be managed on an ambulatory basis?

Inclusion Criteria:

• Patients with cholecystitis from the emergency unit
• Patients who agree to participate in the study and have signed informed consent
• Patients evaluated by anesthesiology with an ASA score of 3 or lower
• Patients managed via laparoscopy
• Absence of oral anticoagulation
• BMI <35

Exclusion Criteria:

• Patients with ASA IV or higher
• Patients who decide to withdraw from the study
• Patients who, for any reason, end up in the intensive care unit or are unable to complete the satisfaction survey
• Diagnosis of choledocholithiasis
• Patients with a diagnosis or suspected pancreatitis