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160 The Patient Experience of Laparoscopic Cholecystectomy as a Day Case at a National Referral Centre; a 7 Month Evaluation of Outcomes

Year: 2025
Type: article
Study design: Observational Study
Abstract: Aim With waiting times for surgery in Scotland increasing year on year, all trusts across the country can now refer patients to have laparoscopic cholecystectomy performed sooner at a national referral centre. Our aim was to evaluate the overall patient experience from decision for surgery to 30 days post-operatively. Method Retrospective analysis was performed of 191 patients who had laparoscopic cholecystectomies over a 7-month period. Their notes were examined for original referral dates and operation notes, biliary related admissions while awaiting surgery and post-operative complications within 30 days. Results Of the 191 patients, 5 (3%) had missing operation notes, 2 (1%) were abandoned, 1 (0.5%) was cancelled on the day, and 8 (4%) declined on the day. The average age of the patients was 51 (range 20-81), 81% of patients were female. The median number of days spent on the waiting list was 301 days (range 35 – 1961). Once referred to our centre, patients waited a median of 91 days. 5.2% (10 patients) had biliary related admission while awaiting their surgery. Examination of operative notes provided variable information, with 11% mentioning duodenal adhesions and two were entirely abandoned due to complexity. 2 post-operative complications were identified. These were graded at I and II on the clavien-dindo scale respectively. Conclusions Patients overall waiting time does not reach guideline targets. Patients waiting a long time increases cost on the NHS by increasing unnecessary pre-operative hospital admissions. Our data demonstrates an excellent safety profile of patients undergoing laparoscopic cholecystectomy out-with their original healthboard.
DOI: 10.1093/bjs/znaf270.250
Language: English
Field: Medicine
Open Access status: bronze
OpenAlex ID: W7117473167
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