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Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study

Daliya, Prita; Carvell, Jody; Rozentals, Judith; Lobo, Dileep N.; Parsons, Simon L

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Prita Daliya

Jody Carvell

Judith Rozentals

Professor of Gastrointestinal Surgery

Simon L Parsons


Background: Although recommendations exist for patients to be offered a post-operative helpline or telephone follow-up appointment at discharge after cholecystectomy, implementation of these is resource-intensive. Whilst the benefits of telephone follow-up are well documented, the use of digital modalities is less so. We aimed to identify if digital follow-up (DFU) was equivalent to routine care with telephone follow-up (TFU), for patients undergoing elective laparoscopic cholecystectomy. Methods: All patients listed for elective laparoscopic cholecystectomy between August 2016 and March 2018 were offered routine post-operative care (TFU or no follow-up) or DFU at a tertiary referral centre in Nottingham. Results: Of 597 patients undergoing laparoscopic cholecystectomy, 199 (33.3%) opted for TFU, and 98 (16.4%) for DFU. DFU was completed for 85 (86.7%) participants and TFU for 125 (62.8%), p < 0.0001. Over 5 times as many patients who chose TFU missed their appointment compared to DFU (5.6% vs. 30.9%, p < 0.001). At 30-days post-operatively, patients undergoing TFU had significantly more post-operative wound infections identified then those undergoing DFU (17.6% vs 5.9%, p = 0.01). However, this did not impact the incidence of 30-day readmissions between groups (7.2% TFU vs. 7.1% DFU). No complications were missed by either the DFU or TFU modalities. DFU was completed significantly earlier than TFU (median 6days vs. 13.5days, p = 0.001) with high patient acceptability, identifying complications and alerting clinicians to those patients requiring an early review. Conclusion: This feasibility study has demonstrated that digital follow-up is an acceptable alternative to telephone follow-up after elective laparoscopic cholecystectomy.


Daliya, P., Carvell, J., Rozentals, J., Lobo, D. N., & Parsons, S. L. (2022). Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study. World Journal of Surgery, 46, 2648-2658.

Journal Article Type Article
Acceptance Date Jul 16, 2022
Online Publication Date Aug 11, 2022
Publication Date Nov 1, 2022
Deposit Date Oct 2, 2022
Publicly Available Date Oct 3, 2022
Journal World Journal of Surgery
Print ISSN 0364-2313
Electronic ISSN 1432-2323
Publisher Springer Science and Business Media LLC
Peer Reviewed Peer Reviewed
Volume 46
Pages 2648-2658
Keywords Surgery
Public URL
Publisher URL


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