Patient Satisfaction After Ambulatory Emergency Laparoscopic Cholecystectomy
Ambulatory Management of Emergency Laparoscopic Cholecystectomy and Patient Satisfaction.
Acute cholecystitis is a common surgical emergency that, if left untreated, can result in significant morbidity and even death.
It is characterized by inflammation of the gallbladder, usually caused by gallstones.
The timing of surgical intervention plays a crucial role in determining patient prognosis, including the risk of complications, length of hospital stay, and overall recovery.
Nowadays, the gold standard for its treatment is the laparoscopic cholecystectomy.
In appropriately selected cases, laparoscopic cholecystectomy can be performed on an outpatient basis, with good results in terms of efficacy and safety.
研究概览
详细说明
Ambulatory laparoscopic cholecystectomy is the gold standard method for managing uncomplicated cholecystopathy.
In the case of an emergency cholecystectomy, could it be managed on an ambulatory basis?
研究类型
介入性
注册 (实际的)
25
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
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Chihuahua
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Chihuahua City、Chihuahua、墨西哥、31100
- Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo" Chihuahua, Chihuahua, Mexico 31000
-
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
不
描述
Inclusion Criteria:
- Patients with cholecystitis from the emergency unit
- Patients who agree to participate in the study and have signed informed consent
- Patients evaluated by anesthesiology with an ASA score of 3 or lower
- Patients managed via laparoscopy
- Absence of oral anticoagulation
- BMI <35
Exclusion Criteria:
- Patients with ASA IV or higher
- Patients who decide to withdraw from the study
- Patients who, for any reason, end up in the intensive care unit or are unable to complete the satisfaction survey
- Diagnosis of choledocholithiasis
- Patients with a diagnosis or suspected pancreatitis
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:Emergency Laparoscopic Cholecystectomy
Emergency Laparoscopic Cholecystectomy, on an ambulatory basis
|
Emergency Laparoscopic Cholecystectomy, on an ambulatory basis
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Postoperative satisfaction (Satiscore)
大体时间:From postoperative recuperation of consciousness to discharge, on the same day, and at the first postoperative outpatient consultation one week after discharge.
|
Patient satisfaction is an attitude resulting from a person's general orientation towards the total experience of health care, in this case the quality of service provided at the surgical wards, using a simplification of the Satiscore scale, where a score of 10-15 points is considered to have a high degree of satisfaction; a score of 16-25 points is considered to have a medium-moderate degree of satisfaction; and a score > 26 points is considered to indicate dissatisfaction.
|
From postoperative recuperation of consciousness to discharge, on the same day, and at the first postoperative outpatient consultation one week after discharge.
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Return to oral intake.
大体时间:From the immediate postoperative period to discharge.
|
Clinical process of shifting a patient from nil-by-mouth to eating and drinking by mouth.
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From the immediate postoperative period to discharge.
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Spontaneous urination
大体时间:From the immediate postoperative period to discharge.
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The patient's ability to voluntarily initiate and complete the process of passing urine without assistance from a catheter or other external intervention following a surgical procedure.
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From the immediate postoperative period to discharge.
|
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Return of bowel function.
大体时间:From the postoperative period to discharge.
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The spontaneous expulsion of gas (flatus) after surgery.
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From the postoperative period to discharge.
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Penrose drain
大体时间:From the postoperative period to discharge, in the case it was left in place.
|
The quantity of drainage is typically measured by the volume (milliliters/mL) of fluid collected on the surrounding sterile dressings.
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From the postoperative period to discharge, in the case it was left in place.
|
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Postoperative pain.
大体时间:From the postoperative period to discharge.
|
Acute pain occurring immediately after a surgical procedure, resulting from tissue damage (surgical incision), inflammation, or neural injury, measured with the help of a numerical scale from 0 to 10.
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From the postoperative period to discharge.
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 学习椅:Rubén Cuevas-Martínez, MD, MSc、Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo"
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2025年2月3日
初级完成 (实际的)
2026年2月11日
研究完成 (实际的)
2026年2月27日
研究注册日期
首次提交
2026年3月13日
首先提交符合 QC 标准的
2026年5月27日
首次发布 (实际的)
2026年6月1日
研究记录更新
最后更新发布 (实际的)
2026年6月1日
上次提交的符合 QC 标准的更新
2026年5月27日
最后验证
2026年5月1日
更多信息
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