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| Comparative study of ambulatory and conventional laparoscopic cholecystectomy based on enhanced recovery after surgery |
| ZHUANG Bo, JIN Ruyan, LI Xuemin, YU Shi’an |
Department of Hepatopancreatobiliary,
Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China |
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| Cite this article: |
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ZHUANG Bo,JIN Ruyan,LI Xuemin, et al. Comparative study of ambulatory and conventional laparoscopic cholecystectomy based on enhanced recovery after surgery[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2019, 49(2): 140-142.
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Abstract Objective: To investigate the characteristics of ambulatory and conventional laparoscopic cholecystectomy based on enhanced recovery after surgery. Methods: A total of 99 patients underwent laparoscopic cholecystectomy based on ERAS from April 1, 2017 to March 30, 2018, were divided into two groups: ambulatory laparoscopic cholecystectomy group (ALC, n=43) and conventional laparoscopic cholecystectomy (CLC, n=56). The data of the patients’ operation time, readmission cases and the related expenses were analyzed. Results: In ALC group, the operation time was (38.55±11.52) min, hospitalization expense was (9 692±1 279) Yuan, the cost for medicine was (1 628±515) Yuan, and the cost for tests and treatment was (8 064±1 070) Yuan. In CLC group, the operation time was (42.03±18.82) min, hospitalization expense was (12 184±3 576) Yuan, the costs for medicine was (2 610±806) Yuan, and the tests and treatment was (9 574±3 345) Yuan. There was no significant difference in the operation time (min) and re-hospitalization (cases) (P>0.05) between the two groups, but there was significant difference in the cost for hospitalization, medicine, tests and treatment (P<0.01). Conclusion: These findings indicate that ALC does not increase postoperative complications, and could significantly reduce the relevant expenses.
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