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• W2010501696 abstract "Abstract Background Laparoscopic cholecystectomy has been performed as a day-care procedure for many years. Few studies have been conducted with primary focus on patient acceptance and preferences in terms of quality of life for this practice compared with overnight stay. Methods Data from 100 patients with symptomatic gallstones randomized to laparoscopic cholecystectomy performed either as a day-care procedure or with overnight stay were analysed. Complications, admissions and readmissions, quality of life and health economic aspects were assessed. Two instruments were used to assess quality of life, the Hospital Anxiety and Depression Scale (HADS) and the Psychological General Well-Being Index (PGWB). Results Forty-eight (92 per cent) of 52 patients in day-care group were discharged 4–8 h after the operation. Forty-two (88 per cent) of 48 in the overnight group went home on the first day after surgery. The overall conversion rate was 2 per cent. Two patients had complications after surgery, both in the day-care group. No patient in either group was readmitted. There was no significant difference in total quality of life score between the two groups. The mean direct medical cost per patient in the day-care group (€3085) was lower than that in the overnight group (€3394). Conclusion Laparoscopic cholecystectomy can be performed as a day-case procedure with a low rate of complications and admissions/readmissions. Patient acceptance in terms of quality of life variables is similar to that for cholecystectomy with an overnight stay. The day-care strategy is associated with a reduction in cost." @default.
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• W2010501696 date "2005-12-02" @default.
• W2010501696 modified "2023-09-26" @default.
• W2010501696 title "Randomized clinical trial of day-care <i>versus</i> overnight-stay laparoscopic cholecystectomy" @default.
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• W2010501696 doi "https://doi.org/10.1002/bjs.5241" @default.
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