{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:29:08Z","timestamp":1777944548370,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T00:00:00Z","timestamp":1612483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The UK practice of laparoscopic cholecystectomy has reduced during the COVID-19 pandemic due to cancellation of non-urgent operations. Isolated day-case units have been recommended as \u2018COVID-cold\u2019 operating sites to resume surgical procedures. This study aims to identify patients suitable for day case laparoscopic cholecystectomy (DCLC) at isolated units by investigating patient factors and unexpected admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Retrospective analysis of 327 patients undergoing DCLC between January and December 2018 at Ysbyty Gwynedd (District General Hospital; YG) and Llandudno General Hospital (isolated unit; LLGH), North Wales, UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results showed that 100% of DCLCs in LLGH were successful; 71.4% of elective DCLCs were successful at YG. Increasing age ( p\u2009=\u20090.004), BMI ( p\u2009=\u20090.01), ASA Score ( p\u2009=\u20090.006), previous ERCP ( p\u2009=\u20090.05), imaging suggesting cholecystitis ( p\u2009=\u20090.003) and thick-walled gallbladder ( p\u2009=\u20090.04) were significantly associated with failed DCLC on univariate analysis. Factors retaining significance (OR, 95% CI) after multiple regression include BMI (1.82, 1.05\u20133.16; p\u2009=\u20090.034), imaging suggesting cholecystitis (4.42, 1.72\u201311.38; p\u2009=\u20090.002) and previous ERCP (5.25, 1.53\u201318.00; p\u2009=\u20090.008). Postoperative complications are comparable in BMI &lt;35kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and 35\u201339.9kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Current patient selection for isolated day unit is effective in ensuring safe discharge and could be further developed with greater consideration for patients with BMI 35\u201339.9kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . As surgical services return, this helps identify patients suitable for laparoscopic cholecystectomy at isolated COVID-free day units.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1750458920977418","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T05:44:05Z","timestamp":1612849445000},"page":"62-70","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Day case laparoscopic cholecystectomy: Identifying patients for a \u2018COVID-Cold\u2019 isolated day-case unit during the pandemic"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9386-8850","authenticated-orcid":false,"given":"Zoe","family":"Hinchcliffe","sequence":"first","affiliation":[{"name":"Department of General Surgery, Ysbyty Gwynedd, Bangor, Wales, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imran","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ysbyty Gwynedd, Bangor, Wales, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil","family":"Lala","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ysbyty Gwynedd, Bangor, Wales, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"bibr1-1750458920977418","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2019.08.008"},{"issue":"1","key":"bibr3-1750458920977418","first-page":"4","volume":"20","author":"Antakia R","year":"2014","journal-title":"Ambulance 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