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Journal of Gastronenterology and Digestive Diseases
|
Volume 3
J u n e 2 5 - 2 6 , 2 0 1 8 | D u b l i n , I r e l a n d
GASTROENTEROLOGY
International Conference on
Syed Altaf Naqvi et al., J Gastroenterol Dig Dis 2018, Volume 3
IMMEDIATE OUTCOME OF
OUTPATIENT LAPAROSCOPIC
CHOLECYSTECTOMY
Syed Altaf Naqvi, A Chandio
and
SM Naqvi
Manchester Royal Infirmary & Trafford General Hospital, UK
Introduction:
There has been revolution in Surgery over the past four
decade’s recent advances in surgical and anaesthetic techniques financial
incentives for the hospital have changed the emphasis in patient selection
in day surgery, the increase in day surgery rates for appropriate procedures
has the potential to improve the service for patients by achieving shorter
waiting times, allowing patient choice and making best use of NHS.
The Royal College of Surgeons of England, in 1992, concluded that day
surgery is better than inpatient care for many conditions and that it can
be an effective way of reducing waiting times
Objective:
Aim of this study was to find out safety and the immediate
outcome of laparoscopic cholecystectomy as a day case in District
General Hospital
Methods:
Retrospective identification of 101, patients underwent a
laparoscopic cholecystectomy as a day case following parameters: age,
gender, comorbidities obesity, presentation with acute cholecystitis,
pancreatitis or obstructive jaundice. Study period from Noveber 2015 to
October 2016.
Results:
Eleven patients (10.89) patients were unplanned admission
and transferred to a Regional Hospitals. Three patients (2.97%) required
conversion to open cholecystectomy. One patient (0.99%) required drain
insertion, and five patients (4.95%) pain control. Two patients (1.98%)
bleeding one from the Gall Bladder fossa which was controlled, another
patient developed an epigastric port bleeding and gone Re-laparoscopy
and resolved the issue with removal of clot and control of bleeding.
Ninety (89.10 %) patients were discharged home after laparoscopic
cholecystectomy from a district hospital.
Conclusion:
Day case Laparoscopic cholecystectomy can be performed
safely in District General Hospital, shorter waiting time, allowing patient
choice, economic benefit, and making best use of NHS.
Syed Altaf Naqvi is a General Surgeon with a
wide range of experience in the different surgical
sub specialties. After qualifying from Dow Med-
ical College Karachi Pakistan in 1982, He un-
dertook General Surgical training in a variety of
posts including the University Hospital Galway,
St James’s Hospital Dublin and District Teach-
ing Hospital Epsom UK. His specialist training
was undertaken in Ireland & United Kingdom.
He joined as a Permanent Consultant at Univer-
sity Hospital Limerick in July 2003-June 2015.
Now He has involved in teaching and training.
saltafnaqvi@yahoo.co.ukBIOGRAPHY