Why are providers reluctant to offer Laparoscopic Cholecystectomies as a Day Case?

[Holdo85]

Hi There,

I was just wondering what your views were as to why the number of Laparoscopic Cholecystectomies being carried out as Day Cases is still so low? Why are providers reluctant to offer this service as a Day Case? Investigating this on the net has proven quite difficult and the only arguments I can really find against Lap Chole as a Day Case are the following:
              1. Biliary Leak
              2. Postoperative Analgesia
              3. Reactionary Haemorrhage
              4. Secondary Haemorrhage
The thing is no.1 & no.4 would occur days after the operation anyway so I don't really feel that these are viable arguments.

Do you have any knowledge/ideas on this?

I really appreciate your input so thank you for taking the time to help.

Kind Regards,

Holdo85

[little57]

I had a laprascopic hysterectomy in January. Even though it is less invasive surgery, it is still major surgery. So the required stay is 36 to 48 hours. Everyone reacts differently to surgery and they have to make sure you are prepared to go home. I was there for 36 hours and am glad I stayed. You really need the round the clock care that is provided.

I will probably have to have your surgery soon, just waiting to have the test next week to see if it needs to be done. I just want to get over being ill all the time.

Also remember that the medical institution doing the surgery are responsible for your well being and they also have to cover themselves for malpractice suits. Too many people are sue happy these days.