Laparoscopic cholecystectomy in Songklanagarind Hospital

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dc.contributor.authorS Ruangsinen_US
dc.contributor.authorT Wanasuwannakulen_US
dc.contributor.authorS Sangkhathaten_US
dc.date.accessioned2011-02-22T06:20:06Z
dc.date.available2011-02-22T06:20:06Z
dc.date.created2010-01-15en_US
dc.date.issued2010-01-15en_US
dc.description.abstractObjective: To contribute our five years of experience of laparoscopic cholecystectomy in Songklanagarind Hospital and find out the risk factors of prolonged length of hospital stay.Design: A retrospective study.Materials and methods: A review of the hospital database of all the patients who underwent laparoscopic cholecystectomy between January 2001 and December 2005.Results: A total of 539 laparoscopic cholecystectomies were performed; the conversion rate was 23.19%. In the cases of successful laparoscopic surgery; patients the mean time for hospital stay was 5.23 days. Surgical site infection occurred in 9.67% of the cases and prophylactic antibiotics were used for 85.27% of the patients. Significantly, surgical wound infection was associated with the type of drain used and also obesity (p = 0.03, p \< 0.001). Local injections of marcaine did not reduce the volume/quantity of narcotic used (p=0.236), and was found to very slightly increase the incidence of wound infection (p = 0.215). Prophylactic postoperative nausea and vomiting (PONV) did not reduce the incidence of severe PONV and medication used (p = 0.109). One patient had a common bile duct injury (0.28%).Conclusions: Laparoscopic cholecystectomy is a safe and feasible procedure. We have tried to improve the patient outcome through moving to a day care laparoscopic cholecystectomy surgical option.en_US
dc.identifier.citationSongklanagarind Medical Journal; Vol. 25 No. 4 Jul-Aug 2007; 315-321en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/132149
dc.language.isoen_USen_US
dc.publisherSongklanagarind Medical Journalen_US
dc.rightsFaculty of Medicine, Prince of Songkla University, Songkla, Thailanden_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/SOMJ/issue/archiveen_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/SOMJ/article/view/857en_US
dc.titleLaparoscopic cholecystectomy in Songklanagarind Hospitalen_US
dc.typeOriginal Articleen_US
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