Day-case surgery for minor laparoscopic liver surgery: a pertinent innovation?

Background: Day-case surgery (DCS) and laparoscopic liver (LLS) are booming. The aim of this study was to confirm the feasibility LLS as DCS evaluate its implementation. Methods: This a prospective descriptive monocentric non-randomized including all patients undergoing (minor resection (LLR), cyst fenestration, radio-frequency ablation (RFA)), between July 2015 December 2018. Exclusion criteria were technique-related criteria, patient-related patient refusal, contraindication DCS. primary endpoint success ambulatory management.The evolution frequency LLR studied. Results: 265 underwent surgery, 38 (14.3%) for (22), RFA (7), association (1), or fenestration (8). Twelve refused successful 29 (76.3%). Protocol respected 25 (65.8%). There 9 unplanned admissions (23.7%), 2 consultations (5.3%), 4 hospitalizations (10.5%). Ambulatory procedures increased initially, then decreased over time: 6.25% at beginning, maximum 41.7%, 18.2% in end. Conclusion: confirms Nevertheless, implementation is low, with high refusal rate. A short hospitalization (only overnight hospitalization) may be an alternative.