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Outpatient versus inpatient laparoscopic cholecystectomy: a prospective randomized study of symptom occurrence, symptom distress and general state of health during the first post-operative week

Authors

  • Cajsa Barthelsson,

    1. PhD student, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet Stockholm, Sweden and Department of Anaesthesia, Karolinska University Hospital, Huddinge, Sweden
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  • Bo Anderberg,

    1. PhD student, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet Stockholm, Sweden and Department of Anaesthesia, Karolinska University Hospital, Huddinge, Sweden
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  • Stig Ramel,

    1. PhD student, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet Stockholm, Sweden and Department of Anaesthesia, Karolinska University Hospital, Huddinge, Sweden
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  • Catrin Björvell,

    1. PhD student, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet Stockholm, Sweden and Department of Anaesthesia, Karolinska University Hospital, Huddinge, Sweden
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  • Kajsa Giesecke,

    1. PhD student, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet Stockholm, Sweden and Department of Anaesthesia, Karolinska University Hospital, Huddinge, Sweden
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  • Gun Nordström

    1. PhD student, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet Stockholm, Sweden and Department of Anaesthesia, Karolinska University Hospital, Huddinge, Sweden
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Errata

This article is corrected by:

  1. Errata: Corrigenda Volume 16, Issue 1, 246–247, Article first published online: 12 February 2010

Cajsa Barthelsson
B43, Karolinska University Hospital
Huddinge
Stockholm 141 86
Sweden
E-mail: cajsa.barthelsson@cfss.ki.se

Abstract

Background  Few randomized clinical trials focus on patients' symptoms of the first post-operative week following outpatient (OPS) versus inpatient (IPS) laparoscopic cholecystectomy (LC). The objective was to compare these treatment modalities with regard to patients' perceptions of pain and other post-operative symptoms, amount of distress, level of anxiety and general state of health during the first post-operative week.

Methods  One hundred patients were randomized. Seventy-three LC patients were valid for efficacy (OPS n = 34, IPS n = 39). Data were collected by means of questionnaires.

Results  The main result was that no differences were seen between the groups regarding the occurrence of post-operative symptoms or symptom distress. Approximately 90% of the patients in both groups perceived pain, reduced mobility and tiredness on day 1. Nausea and loss of appetite were reported by half of the patients. Post-operative day 1, both groups reported much or very much distress related to pain and reduced mobility (approximately 40%) and nausea (approximately 20%). Although both groups reported less symptoms on day 7, one-third still experienced pain, but only one patient reported this to be distressing.

Conclusion  Laparoscopic cholecystectomy patients in both groups recover equally well, indicating that a greater proportion of LC patients should be offered the outpatient modality.

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