Same day discharge protocol implementation trends in laparoscopic cholecystectomy in pediatric patients.
Purpose: After investigating barriers for same day discharge (SDD) after laparoscopic cholecystectomy (LC), we employed a protocol which we have followed with a prospective, observational study.
Methods: A single institution, prospective observational study was performed from July 2014 to 2015 (2nd period). These data were compared to our initial experience with an SDD protocol from January 2013 to July 2014 (1st period).
Results: A total of 191 LCs were analyzed, 116 in the 1st period and 75 in the second period. In the 1st period, 47% were discharged the same day compared to 78% in the 2nd period (P
Conclusion: SDD after LC is safe and effective and implementing and revising a standardized clinical protocol can substantially improve the success of SDD.
Level of evidence: Retrospective comparative study, level III.
Journal of pediatric surgery
Adolescent; Ambulatory Surgical Procedures; Child; Cholecystectomy, Laparoscopic; Clinical Protocols; Female; Gallbladder Diseases; Humans; Male; Patient Discharge; Prospective Studies
Biliary dyskinesia; Gallstones; Gall Bladder Surgery; Protocol; Same day discharge; Symptomatic cholelithiasis
Gould JL, Poola AS, St Peter SD, Aguayo P. Same day discharge protocol implementation trends in laparoscopic cholecystectomy in pediatric patients. J Pediatr Surg. 2016;51(12):1936-1938. doi:10.1016/j.jpedsurg.2016.09.008