Incidence of day care discharge in laparoscopic cholecystectomy and correlation with pacu scores: A feasibility study

Abstract

Introduction: Laparoscopic cholecystectomy has overpowered open cholecystectomy for the treatment of gall bladder disease. The concept of Day Care surgery along with ERAS is very useful in a developing country like ours because it leads to cost containment and better utilization of the health care resources. This study was conducted to co relate PACU scores with discharge feasibility in laparoscopic cholecystectomy patients. Method: The study was conducted with 48 patients undergoing laparoscopic cholecystectomy. The patients undergoing laparoscopic cholecystectomy either under general or regional anaesthesia, ASA I and II were included in this study. A standard general anesthesia protocol was followed. Modified Aldrete score and PADSS score were assessed to confirm readiness for discharge. Results: 43patients were discharged on the same day of surgery. Mean hospital stay after surgery of the patients who were discharged on the same day of the procedure was 9 ±0.74 hours. 5 patients were kept admitted.Of these 5, 3 recovered completely and discharged within 48hrs while 2 had readmission. PACU scores correlated well with all patients. Conclusion: Right selection of patient, proper pre-op optimization of comorbid conditions, good postop analgesia, and proper utilization PACU scoring system can promoteday care Laparoscopic Cholecystectomy.