CAO Junqiu 1,2 , XIONG Huan 1 , SONG Yinghan 1,2 , WANG Xiaocheng 1,2 , FANG Lu 1,2 , XING Yuling 1,2 , CHEN Hongyu 3,4 , ZHAO Xiaoyan 1,2 , LIANG Peng 2 , MA Hongsheng 1,2 , CHEN Yonghua 3,4
  • 1. Day Surgery Center, West China Tianfu Hospital, Sichuan University, Chengdu 610213, P. R. China;
  • 2. Day Surgery Center, General Practicc Medical Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
  • 3. Division of Pancreatic Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
  • 4. Department of Hepatobiliary and Pancreatic Surgery, West China Tianfu Hospital, Sichuan University, Chengdu 610213, P. R. China;
CHEN Yonghua, Email: 13699410525@163.com
laparoscopic cholecystectomy; same-day surgery; day surgery; clinical application; safety
10.7507/1007-9424.202501106
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Objective To evaluate the feasibility and safety of laparoscopic cholecystectomy (LC) in same-day surgery model. Methods The patients who underwent LC at West China Tianfu Hospital of Sichuan University from November 1, 2023 to July 31, 2024, were retrospectively reviewed. The enrolled patients were divided into a same-day surgery LC group and a conventional inpatient LC group. In the same-day surgery group, a same-day discharge protocol was implemented, whereby patients were admitted, operated on, and discharged on the same day, with discharge required no later than 21:00 without an overnight stay. The conventional inpatient group was managed according to the conventional model. A comparison was carried out between the two groups concerning baseline characteristics, perioperative outcomes, surgery-related complications, postoperative urinary retention, total length of stay, hospitalization costs, and 30-day follow-up results. Results A total of 347 patients were included, comprising 164 in the same-day surgery LC group and 183 in the conventional inpatient LC group. No statistically significant differences (P > 0.05) were found between the two groups in the following terms: total anesthesia time, operative time, intraoperative blood loss, intraoperative fluid infusion, length of stay in the post-anesthesia care unit (PACU), fluid infusion in the PACU, placement of abdominal drains, visual analog scale pain score at discharge, rates of unplanned revisits due to changes in their disease conditionwithin 30 d after discharge, readmission rates, and the incidence of surgery-related complications. All complications in both groups were graded as Clavien-Dindo Ⅰ. The same-day surgery LC group demonstrated significantly lower preoperative fluid infusion, postoperative fluid infusion, total hospitalization costs, and a shorter total length of stay compared to the conventional inpatient LC group (P<0.05). Furthermore, the incidence of postoperative urinary retention was significantly lower in the same-day surgery LC group (P<0.05). Conclusions This study demonstrates that same-day surgery LC is a safe and feasible approach for appropriately selected patients. Its outcomes in key perioperative safety metrics are comparable to those of the conventional inpatient LC model, while it offers the significant advantages of effectively reducing the length of hospital stay, lowering medical costs, and decreasing the incidence of certain postoperative complications.

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