{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:37:05Z","timestamp":1761511025326},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,6,28]],"date-time":"2017-06-28T00:00:00Z","timestamp":1498608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,6,28]],"date-time":"2017-06-28T00:00:00Z","timestamp":1498608000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Currently, most patients undergoing laparoscopic cholecystectomy (LC) in Switzerland are inpatients for 2\u20133\u00a0days. Due to a lack of available hospital beds, we asked whether day\u2010case surgery would be an option for patients in central Switzerland. The questions of acceptability of outpatient LC and factors contributing to the acceptability thus arose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Hundred patients suffering from symptomatic cholecystolithiasis, capable of communicating in German, and between 18 and 65 years old, were included. Patients received a pre\u2010operative questionnaire on medical history and social situation when informed consent on surgery and participation in the study was obtained. Exclusion criteria were patients suffering from acute cholecystitis or any type of cancer; having a BMI &gt;40\u00a0kg\/m<jats:sup>2<\/jats:sup>; needing conversion to open cholecystectomy or an intraoperative drainage; and non\u2010German speakers. Surgery was performed laparoscopically. Both surgeon and patient filled in a postoperative questionnaire. The surgeon\u2019s questionnaire listed medical and technical information, and the patients\u2019 questionnaire listed medical information, satisfaction with the treatment and willingness to be released on the same day. These data from both questionnaires were grouped into social and medical factors and analysed on their influence upon willingness to accept an ambulatory procedure. No outpatient follow\u2010up apart from checking for readmission to our hospital within 1\u00a0month after discharge was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 100 participants, one\u2010third was male. More than two\u2010thirds were Swiss citizens. Only one participant was ineligible for rapid release evaluation due to need of a drainage. Among the social factors contributing to the acceptability of ambulatory care, we found nationality to be relevant; Swiss citizens preferred an inpatient procedure, whereas non\u2010Swiss citizens were significantly more willing to return home on the same day. Household size, sex and age did not correlate with a preference for inpatient care in our study population. Furthermore, medical input factors such as the surgeon\u2019s level of experience, operation time or use of local anaesthesia at the end of surgery had also no significant influence on whether patients preferred inpatient care or not. Medical output factors not found to contribute to the patients\u2019 decisions included co\u2010morbidities or postoperative nausea and vomiting (PONV). Patients of experienced surgeons reported significantly less pain at the operation site. This was correlated with a somewhat increased willingness to accept ambulatory treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Given the choice, about half of the LC patients in central Switzerland prefer to stay in hospital overnight. PONV, age, sex or social surroundings were not predictive of the preferred treatment modality. Only being a non\u2010Swiss citizen and experiencing little pain at the operation site due to the surgeon\u2019s skills seem to be factors that lead to a preference for ambulatory LC (ALC). Therefore, ALC in central Switzerland is most acceptable to non\u2010Swiss citizens, operated upon by experienced surgeons.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4098-0","type":"journal-article","created":{"date-parts":[[2017,6,28]],"date-time":"2017-06-28T14:16:46Z","timestamp":1498659406000},"page":"2731-2734","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Acceptance of Ambulatory Laparoscopic Cholecystectomy in Central Switzerland"],"prefix":"10.1002","volume":"41","author":[{"given":"Sandra P.","family":"Widjaja","sequence":"first","affiliation":[{"name":"Cantonal Hospital Lucerne Spitalstrasse 31 6000 Lucerne 16 Switzerland"},{"name":"Cantonal Hospital Lucerne Spitalstrasse 16a 6210 Sursee Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henning","family":"Fischer","sequence":"additional","affiliation":[{"name":"Cantonal Hospital Lucerne Spitalstrasse 31 6000 Lucerne 16 Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander R.","family":"Brunner","sequence":"additional","affiliation":[{"name":"Cantonal Hospital Lucerne Spitalstrasse 31 6000 Lucerne 16 Switzerland"},{"name":"Department for Trauma Surgery Medical University Innsbruck Anichstrasse 35 6020 Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Honigmann","sequence":"additional","affiliation":[{"name":"Cantonal Hospital Lucerne Spitalstrasse 31 6000 Lucerne 16 Switzerland"},{"name":"University Hospital Basel Spitalstrasse 21 4056 Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrg","family":"Metzger","sequence":"additional","affiliation":[{"name":"Cantonal Hospital Lucerne Spitalstrasse 31 6000 Lucerne 16 Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,28]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129689\u2010199112000\u201000007"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840714"},{"key":"e_1_2_8_4_2","first-page":"43","article-title":"Day case laparoscopic cholecystectomy: a safe and cost effective procedure","volume":"162","author":"Prasad A","year":"1996","journal-title":"Eur J Surg"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2012.09.006"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2012.08.009"},{"key":"e_1_2_8_7_2","doi-asserted-by":"crossref","unstructured":"VaughanJ GurusamyKS DavidsonBR(2013) Day\u2010surgery versus overnight stay surgery for laparoscopic cholecystectomy.Cochrane Database Syst Rev(7):CD006798. 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