Same day discharge after laparoscopic cholecystectomy in XXXX .

@entity1 @entity2963 @entity910
BACKGROUND: Although the safety of same day discharge (SDD) after laparoscopic cholecystectomy (LC) for symptomatic @entity2963 (SC) and @entity910 ( @entity910 ) in adults has been well documented in the literature, the same data in the pediatric population are lacking. We have recently instituted a protocol for SDD after LC for SC and @entity910 , and this study is an analysis of our initial experience. METHODS: A retrospective chart review of all @entity1 who underwent LC for @entity910 and SC in our institution from January 2011-July 2014 was performed. RESULTS: A total of 227 LC were performed for SC and @entity910 during the study period. Approximately 25% (n  =  57) of @entity1 were in the SDD group. The remaining 75% (n  =  170) of @entity1 were admitted at least overnight stay (ONS) for the following reasons: medical 16.5% (n  =  28), surgery ending too late 4.1% (n  =  7), or clinical care habits 79.4% (n  =  135). Comparing the SDD group with ONS group, no differences were found in the complication rate, readmissions, or follow up before scheduled appointment. Length of stay was significantly less for the SDD group than for the ONS. A trend for more SDDs was observed as time elapsed from initiation of the protocol. Also, earlier completion of surgery trended toward SDD. CONCLUSIONS: SDD appears safe for pediatric @entity1 undergoing LC for @entity910 or SC. The main obstacles to discharge were time of surgery completion and clinical care habits, both of which improved as comfort level with SDD grew among the staff.
