Effectiveness of Laparoscopic Cholecystectomy between Day Surgery and Inpatient Surgery at Ban Pong Hospital, Ratchaburi
Keywords:
Cholecystectomy, Laparoscopic surgery, ComplicationsAbstract
The day-surgery approach helps reduce inpatient bed occupancy and enhances the efficiency of healthcare service systems. This study aimed to compare the effectiveness and safety of laparoscopic cholecystectomy between day-surgery and inpatient surgery cases at Ban Pong Hospital, Ratchaburi Province. This retrospective analytical study reviewed the medical records of 40 patients, comprising 20 cases from the day-surgery unit (DSU) and 20 cases from the inpatient unit (IPU), collected between July 2023 and April 2025. Data were analyzed using descriptive statistics, independent t-test, Chi-square test, and Two-way ANOVA.
The results showed no significant differences between the two groups in postoperative pain scores during the first 1–12 hours. However, at 24 hours post-surgery, the DSU group demonstrated significantly lower VAS scores than the IPU group. A significant time effect and a time–treatment interaction were observed. No differences in postoperative complications were found, and no patients in either group were readmitted within 30 days.
In conclusion, day-surgery laparoscopic cholecystectomy is as safe as inpatient surgery while providing superior outcomes in reducing postoperative pain at 24 hours and lowering overall hospital costs. This approach is particularly suitable for implementation in community hospitals with limited resources.
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