Interruption of professional and home activity after laparoscopic cholecystectomy among French and American patients

作者: Gary C. Vitale , Denis Collet , Gerald M. Larson , William G. Cheadle , Frank B. Miller

DOI: 10.1016/0002-9610(91)90606-E

关键词:

摘要: With a laparoscopic approach, patients can undergo cholecystectomy with shorter hospitalization, minimal pain, and quicker recovery. It has not been demonstrated, however, that actually return to work after faster than the traditional 4- 6-week absence from standard open procedure. A survey of 104 French 84 American undergoing revealed postoperative discomfort was completely resolved in 2 weeks 73% 93% patients. All but 11 5 were back normal home activities by operation. Of 35 40 who had professional activity outside home, 63% 25%, respectively, returned within 14 days. Five (14%) 12 (30%) 4 or more The amount physical on job correlated period off work, but, interestingly, at least six very hard (including construction workers) able full 1 week. These data suggest early is possible pain resolves quickly cholecystectomy. economic benefit having quickly, may be less expected until cultural norms change regard leave major surgery.

参考文章(9)
RONALD K. TOMPKINS, Laparoscopic Cholecystectomy Archives of Surgery. ,vol. 125, pp. 1245- 1245 ,(1990) , 10.1001/ARCHSURG.1990.01410220029002
Eddie Joe Reddick, Douglas Ole Olsen, Outpatient laparoscopic laser cholecystectomy. American Journal of Surgery. ,vol. 160, pp. 485- 487 ,(1990) , 10.1016/S0002-9610(05)81009-8
Charles K. McSherry, Cholecystectomy: the gold standard. American Journal of Surgery. ,vol. 158, pp. 174- 178 ,(1989) , 10.1016/0002-9610(89)90246-8
F Dubois, H Levard, G Berthelot, Cholecystectomy by coelioscopy Presse Medicale. ,vol. 18, pp. 980- 982 ,(1989)
J R Merrill, Minimal trauma cholecystectomy (a "no-touch" procedure in a "well"). American Surgeon. ,vol. 54, pp. 256- 261 ,(1988)
L G Chambers, I R Goco, "Mini-cholecystectomy" and operative cholangiography. A means of cost containment. American Surgeon. ,vol. 49, pp. 143- 145 ,(1983)
Eddie Joe Reddick, Douglas Ole Olsen, Laparoscopic laser cholecystectomy Surgical Endoscopy. ,vol. 3, pp. 131- 133 ,(1989) , 10.1007/BF00591357