Day-Surgery Versus Overnight Stay Surgery for Laparoscopic Cholecystectomy

Background: Laparoscopic Cholecystectomy became the gold standard for symptomatic gall stone disease. This procedure can be done as day-case surgery. There is some controversy over whether performing laparoscopic cholecystectomy as day-surgery is safe or not. The aim of the study is to assess the impact of day-surgery versus overnight stay laparoscopic cholecystectomy on patient-oriented outcomes such as mortality and severe adverse events. Patients and Methods: This is a prospective study, conducted between January 2016 to January 2017. Participants included 164 patients who underwent laparoscopic cholecystectomy for gallstone disease in Rizgary Teaching Hospital in Erbil. The patients were divided in to two groups; first group as Day-case surgery and second group: overnight stay group. The patients were evaluated regarding their age, sex, per-operative injuries, use of drain, time of discharge from the hospital and complications. Results: Sixty three patients were discharged at the same day from the hospital (38.41 %), postoperative complication occurred in 9 of them (14.3%), whereas 101 patients (61.58 %) stayed the night after operation in the hospital, only 24 of them (23.8%) developed postoperative complication, there was no significant difference in developing complication between the two groups. Conclusions: Day-surgery appears just as safe as overnight stay surgery in laparoscopic cholecystectomy. Our results show there is no significant difference between the time of discharge and incidence of complications.