To document effectiveness of minicholecystectomy as a safe, cost-effective day surgery procedure with rapid return to work.
Review of medical records.
Small community hospital.
A total of 1207 patients who underwent minicholecystectomies from January 1, 1986, through December 31, 1997.
Main Outcome Measures
Complications, length of hospital stay, cost, and time until return to work.
Of the 1207 patients who underwent minicholecystectomy, 74% were admitted for day surgery, 88% of whom were discharged in less than 12 hours, 9.3% in 24 hours or less, and 1.7% in greater than 24 hours; 0.3% were readmitted within 2 weeks. The complication rate was 0.2%; 2 cases required laparotomy, with no common duct injuries. The cost of the procedure was $435; the average time it took working patients to return to work was 11.4 days.
Minicholecystectomy is a safe, inexpensive day surgery method of cholecystectomy with minimal time off work after surgery.