2004, Number 4
<< Back Next >>
Rev Fac Med UNAM 2004; 47 (4)
Ambulatory endoscopic surgery
Mazón RJ, Moreno PM, Magos VF, Rojano RM, Palacios RJA, Herrera EJJ
Language: Spanish
References: 19
Page: 141-144
PDF size: 35.11 Kb.
ABSTRACT
Laparoscopic surgical procedures have the advantage of short hospital stay,
less postoperative pain and quicker recuperation.
Methodology: This prospective, observational study, carried out in the
out-patient department was accomplished on
73 less than 60 year of age patients, with anesthetic risk ASA-1, with either biliary lithiasis, inguinal herniae, esophageal-stomach disturbances, initial appendicitis or liver diseases undiagnosed, all without complications.
Results: Ninety eight procedures were done: 70 cholecystectomies (71%), 11 inguinal reconstructions, 10 appendectomies, 3 funduplications, one liver biopsy and three Heller´s cardiomiotomies. No surgical complications were seen. Operative time was 55 minutes average and hospital stay less than 24 hours.
Conclusion: Endoscopic ambulatory surgery is safe and recommended for 2nd level institutions which have great work demand.
REFERENCES
Cuschieri A. The laparoscopic revolution. JR Col Surg Edinb 1990; 34: 295-297.
Dubois F, Berthelot G, Levar H. Cholecystectomy par coelioscopie. Presse Med 1989; 18: 980-2.
Reddick EJ, Olsen DO. Laparoscopic lasser cholecystectomy a comparation with mini-lap cholecystectomy. Surg Endosc 1989; 3: 131-3.
Gutiérrez L, Grau L, Rojas A, Mosqueda G. Colecistectomía por laparoscopia: Informe del primer caso realizado en México. Endoscopia 1990; 1: 99-102.
Fleisher L, Yee K, Lillemoe K et al. Outpatient laparoscopic cholecystectomy safe and cost-effective?: a model to study transitions of care. Anesthesiology 1999; 90: 1746-55.
Prashant K, Jeannine et al. Feasibility of 23 hour hospitalization after laparoscopic fundoplication. J Laparoendosc and Adv Surg Tech 2000; 10: 5-11.
Cuschieri A. Day case (ambulatory) laparoscopic surgery. Surg Endosc 1997; 11: 1143-4.
Voyles C, Berch B. Selection criteria for laparoscopic cholecystectomy in an ambulatory care setting. Surg Endosc 1997; 11: 1145-6.
Mucio M. Programa operativo de cirugía invasión mínima para 1993. Hospital General “Dr. Manuel Gea González” Dirección Médica. Departamento de Cirugía General. Biblioteca. Archivo IV, No. de colocación 2235, Febrero 1993.
Zepeda HR, Mucio M. Colecistectomía laparoscópica ambulatoria. Cir Gen 1993; 15: 14-7.
Voitk A. Is outpatient cholecystectomy safe for the higher risk elective patient? Surg Endosc 1997; 11: 1147-8.
Milford M, Paluch T. Ambulatory laparoscopic fundoplication. Surg Endosc 1997; 11: 1150-2.
Narain P, DeMaria E. Initial results of a prospective trial of outpatient laparoscopic cholecystectomy. Surg Endosc 1997; 11: 1091-4.
Wing T, Heng T, Bonita K et al. Outpatient laparoscopic cholecystectomy in Hong Kong. Surg Laparosc Endosc Percutan Tech. 2001; 11: 92-96.
Alvarez C, Voitk A. The road to ambulatory laparoscopic management of perforated appendicitis. Am J Surg 2000; 179: 63-6.
Hunter J. Advanced laparoscopic surgery. Am J Surg 1997; 173: 14-20.
Olvera PD. Cirugía laparoscópica: reflexiones acerca de su presente. Cir Gen 2000; 22: 247-53.
Olvera PD. Cirugía laparoscópica: reflexiones acerca de su pasado. Cir Gen 1999; 21: 54-6.
Zepeda HR, Mucio M. Colecistectomía laparoscópica ambulatoria. Cir Gen 1993; 15: 14-7.