{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:03:10Z","timestamp":1791460990376,"version":"4.3.4"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"\n Backgrounds:<\/jats:title>\n Ambulatory laparoscopic cholecystectomy (LC) reduces healthcare cost and increases hospital bed capacity. Currently, there is no consensus on patient selection for ambulatory LC. Evaluation of risk factors for ambulatory discharge is essential.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Consecutive patients who underwent LC in our centre throughout 2019 were collected. We evaluated the discharge fitness using the Post-Anaesthetic Discharge Scoring System at 8 h after the operation. The relations between pre-operative variables and dischargeable possibilities were analysed for screening risk factors. Furthermore, we performed a literature review to summarise all published information.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Six hundred and forty-one cases were included in this study. American Society of Anaesthesiologist (ASA) grading (odds ratio OR = 0.415,\n P<\/jats:italic>\n = 0.001) and leucocytes (OR = 0.80,\n P<\/jats:italic>\n < 0.001) significantly predicted the fitness of discharge. ASA contributed to lower activity (\n P<\/jats:italic>\n = 0.002) and intake\/output (\n P<\/jats:italic>\n = 0.006) scores. Leucocytes influence the vital sign (\n P<\/jats:italic>\n < 0.001) and pain or post-operative nausea and vomiting (PONV) (\n P<\/jats:italic>\n < 0.001) scores. The prolonged operation could predict the inabilities of discharge with a cut-off value of 55 min by dropping vital signs (\n P<\/jats:italic>\n = 0.011), activity (\n P<\/jats:italic>\n < 0.001) and pain or PONV (\n P<\/jats:italic>\n = 0.012) scores. Male sex (OR: 1.702,\n P<\/jats:italic>\n = 0.010), body mass index (BMI) (OR: 1.087,\n P<\/jats:italic>\n = 0.008), leucocytes (OR: 1.075,\n P<\/jats:italic>\n = 0.017) and C-reactive protein (CRP) (OR: 1.018,\n P<\/jats:italic>\n = 0.003) were predictors for prolonged operation (>55 min).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n We suggest that pre-operative ASA grading III and leucocytes are risk factors for the fitness of ambulatory discharge after LC and intraoperative time. Male, BMI and CRP predict complicated surgery, and they should be considered preoperatively.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmas.jmas_25_21","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T11:52:23Z","timestamp":1621943543000},"page":"302-307","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Risk factors for patient selection in ambulatory laparoscopic cholecystectomy"],"prefix":"10.4103","volume":"18","author":[{"given":"Qiang","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiwei","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueli","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chencheng","family":"Mo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daoyun","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minkun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongqiang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingcheng","family":"Hao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-24-20240828","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1016\/S0002-9610(05)81009-8","article-title":"Outpatient laparoscopic laser cholecystectomy","volume":"160","author":"Reddick","year":"1990","journal-title":"Am J Surg"},{"key":"R2-24-20240828","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1007\/s00464-006-9083-x","article-title":"Outpatient laparoscopic cholecystectomy: Clinical pathway implementation is efficient and cost effective and increases hospital bed capacity","volume":"21","author":"Topal","year":"2007","journal-title":"Surg Endosc"},{"key":"R3-24-20240828","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1111\/anae.14639","article-title":"Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery","volume":"74","author":"Bailey","year":"2019","journal-title":"Anaesthesia"},{"key":"R4-24-20240828","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijsu.2017.11.051","article-title":"Day case laparoscopic cholecystectomy: Safety and feasibility in obese patients","volume":"49","author":"Gregori","year":"2018","journal-title":"Int J Surg"},{"key":"R5-24-20240828","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s004649900557","article-title":"Is outpatient cholecystectomy safe for the higher-risk elective patient?","volume":"11","author":"Voitk","year":"1997","journal-title":"Surg Endosc"},{"key":"R6-24-20240828","first-page":"473","article-title":"Ambulatory laparoscopic cholecystectomy outcomes","volume":"10","author":"Sherigar","year":"2006","journal-title":"JSLS"},{"key":"R7-24-20240828","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.hbpd.2019.04.008","article-title":"Feasibility and safety of single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy in an ambulatory setting","volume":"18","author":"Qu","year":"2019","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"R8-24-20240828","doi-asserted-by":"crossref","first-page":"3867","DOI":"10.1007\/s00464-015-4691-y","article-title":"Day-care laparoscopic cholecystectomy with diathermy hook versus fundus-first ultrasonic dissection: A randomized study","volume":"30","author":"Mattila","year":"2016","journal-title":"Surg Endosc"},{"key":"R9-24-20240828","doi-asserted-by":"crossref","first-page":"46","DOI":"10.15537\/smj.2015.1.9738","article-title":"Day-case laparoscopic cholecystectomy","volume":"36","author":"Al-Qahtani","year":"2015","journal-title":"Saudi Med J"},{"key":"R10-24-20240828","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1016\/j.surge.2012.09.006","article-title":"Laparoscopic cholecystectomy in day surgery: Feasibility and outcomes of the first 400 patients","volume":"11","author":"Brescia","year":"2013","journal-title":"Surgeon"},{"key":"R11-24-20240828","doi-asserted-by":"crossref","first-page":"277","DOI":"10.4103\/1319-3767.82584","article-title":"Laparoscopic cholecystectomy as a day surgery procedure: is it safe.An Egyptian experience?","volume":"17","author":"Seleem","year":"2011","journal-title":"Saudi J Gastroenterol"},{"key":"R12-24-20240828","first-page":"191","article-title":"Early experience of day care surgery in Nepal","volume":"49","author":"Singh","year":"2010","journal-title":"JNMA J Nepal Med Assoc"},{"key":"R13-24-20240828","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.ijsu.2010.09.002","article-title":"Day case laparoscopic cholecystectomy: Reducing the admission rate","volume":"9","author":"Akoh","year":"2011","journal-title":"Int J Surg"},{"key":"R14-24-20240828","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.ijsu.2006.12.003","article-title":"Day case laparoscopic cholecystectomy is safe and feasible: A case controlled study","volume":"5","author":"Rathore","year":"2007","journal-title":"Int J Surg"},{"key":"R15-24-20240828","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1308\/003588409X432365","article-title":"Introduction of a day \u2013 Case laparoscopic cholecystectomy service in the UK: A critical analysis of factors influencing same-day discharge and contact with primary care providers","volume":"91","author":"Briggs","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"R16-24-20240828","first-page":"397","article-title":"Feasibility and safety of day surgery laparoscopic cholecystectomy in a university hospital using a standard clinical pathway","volume":"49","author":"Chang","year":"2008","journal-title":"Singapore Med J"},{"key":"R17-24-20240828","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1007\/s00268-007-9225-x","article-title":"Day-surgery laparoscopic cholecystectomy: Factors influencing same-day discharge","volume":"32","author":"Psaila","year":"2008","journal-title":"World J Surg"},{"key":"R18-24-20240828","first-page":"369","article-title":"Outpatient laparoscopic cholecystectomy: A reality","volume":"6","author":"Maggiore","year":"2002","journal-title":"JSLS"},{"key":"R19-24-20240828","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1002\/jhbp.515","article-title":"Tokyo Guidelines 2018: Diagnostic criteria and severity grading of acute cholecystitis (with videos)","volume":"25","author":"Yokoe","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"R20-24-20240828","doi-asserted-by":"crossref","first-page":"3174","DOI":"10.1007\/s00464-012-2310-8","article-title":"The degree of gallbladder wall thickness and its impact on outcomes after laparoscopic cholecystectomy","volume":"26","author":"Raman","year":"2012","journal-title":"Surg Endosc"},{"key":"R21-24-20240828","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/S0002-9610(00)00248-8","article-title":"Preoperative evaluation to predict technical difficulties of laparoscopic cholecystectomy on the basis of histological inflammation findings on resected gallbladder","volume":"179","author":"Sakuramoto","year":"2000","journal-title":"Am J Surg"},{"key":"R22-24-20240828","doi-asserted-by":"crossref","first-page":"26","DOI":"10.4103\/0972-9941.158963","article-title":"Is C-reactive protein the single most useful predictor of difficult laparoscopic cholecystectomy or its conversion.A pilot study?","volume":"12","author":"Jessica Mok","year":"2016","journal-title":"J Minim Access Surg"},{"key":"R23-24-20240828","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/S1072-7515(97)00041-0","article-title":"Laparoscopic cholecystectomy as an outpatient procedure","volume":"185","author":"Lam","year":"1997","journal-title":"J Am Coll Surg"},{"key":"R24-24-20240828","first-page":"e165","article-title":"Randomized controlled trial comparing daycare and overnight stay laparoscopic cholecystectomy","volume":"166","author":"Salleh","year":"2015","journal-title":"Clin Ter"},{"key":"R25-24-20240828","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s00534-002-0807-6","article-title":"Day-case laparoscopic cholecystectomy: A prospective evaluation of a 6-year experience","volume":"10","author":"Ammori","year":"2003","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"R27-24-20240828","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/0952-8180(95)00130-A","article-title":"A post-anesthetic discharge scoring system for home readiness after ambulatory surgery","volume":"7","author":"Chung","year":"1995","journal-title":"J Clin Anesth"},{"key":"R28-24-20240828","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.jamcollsurg.2013.08.001","article-title":"Safety of outpatient laparoscopic cholecystectomy in the elderly: Analysis of 15,248 patients using the NSQIP database","volume":"217","author":"Rao","year":"2013","journal-title":"J Am Coll Surg"},{"key":"R29-24-20240828","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1093\/ije\/dyi272","article-title":"The emerging epidemic of obesity in developing countries","volume":"35","author":"Prentice","year":"2006","journal-title":"Int J Epidemiol"},{"key":"R30-24-20240828","first-page":"C09","article-title":"Predicting difficult laparoscopic cholecystectomy based on clinicoradiological assessment","volume":"9","author":"Nidoni","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"R31-24-20240828","doi-asserted-by":"crossref","first-page":"e2016","DOI":"10.4293\/JSLS.2016.00065","article-title":"Risk factors for difficult laparoscopic cholecystectomy in acute cholecystitis","volume":"20","author":"Hayama","year":"2016","journal-title":"JSLS"},{"key":"R32-24-20240828","doi-asserted-by":"crossref","first-page":"362","DOI":"10.4103\/jmas.JMAS_197_17","article-title":"Inflammation and indication: A novel approach to predict degree of difficulty during emergency laparoscopic cholecystectomy","volume":"14","author":"Date","year":"2018","journal-title":"J Minim Access Surg"},{"key":"R33-24-20240828","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/0002-9610(94)90051-5","article-title":"Factors determining conversion to laparotomy in patients undergoing laparoscopic cholecystectomy","volume":"167","author":"Fried","year":"1994","journal-title":"Am J Surg"},{"key":"R34-24-20240828","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.amjsurg.2004.06.013","article-title":"A nationwide study of conversion from laparoscopic to open cholecystectomy","volume":"188","author":"Livingston","year":"2004","journal-title":"Am J Surg"},{"key":"R35-24-20240828","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00000658-199802000-00007","article-title":"Symptomatic cholelithiasis: A different disease in men.Connecticut Laparoscopic Cholesystectomy Registry?","volume":"227","author":"Russell","year":"1998","journal-title":"Ann Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_25_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:14:48Z","timestamp":1787843688000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_25_21"}},"subtitle":["A Single-centre experience"],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_25_21","relation":{},"ISSN":["0972-9941"],"issn-type":[{"value":"0972-9941","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}