First experience with outpatient laparoscopic cholecystectomy in morocco

Laparoscopic cholecystectomy is the standard treatment for symptomatic vesicular lithiasis. This intervention is done on ambulatory setting in North America and Europe but no experience was reported in Morocco.
The aim of this study is to report the results of our experiment, in order to evaluate the feasibility of this procedure in our context.
Methods: This is a prospective descriptive study performed at the General Surgery Department of the Avicenna Military Hospital in Marrakesh during a 10-months period from February 2018 to November 2018.
Results: During the period, 122 laparoscopic cholecystectomies were performed. Among them N = 55 (45%) responding to the inclusion criteria were scheduled outpatients. there were 45 women (82%) and 10 men (18%). The average age was 48.56 years old. 31 patients (56.36%) had at least one risk factor for nausea or vomiting. 35 patients (63.6%) were ASA 1, 16 patients (29.1%) ASA 2 and 4 patients (7.3%) ASA 3. 80% of the patients were operated under general anesthesia and 20% under spinal anesthesia. The average operative time was 41.49 min. the missed exit rate was 5.45%. The rate of unplanned consultations was 9.6%. One patient (1.9%) was rehospitalized on D2 for postoperative peritonitis and was reoperated.
Conclusion: Our study demonstrates the feasibility of the OPLC in our context and could be an accelerator for the development of outpatient surgery with the establishment of a legislative framework and adequate infrastructure to this procedure; this would optimize our health system