244 Evaluation of Patient Outcomes Following Laparoscopic Cholecystectomy

Abstract Aim This study aimed to evaluate patient recovery and satisfaction through patient reported outcomes measures (PROMs) assessing pain, sleep quality and functional disability following laparoscopic cholecystectomy (LC) at a district general hospital. Additionally, the study assessed adherence to the National Institute for Health and Care Excellence guideline NG180 on the use of adequate multimodal analgesia for postoperative pain management. Method In this retrospective observational study, 34 patients who underwent LC between January 2024 and 2025 for multiple indications completed 15-minute telephone surveys, including a general health questionnaire, the Numerical Rating Scale (assessing pain), the Pittsburgh Sleep Quality Index, and the WHO Disability Assessment Schedule 2.0. Discharge summaries provided information regarding any prescribed pain relief. The Clavien-Dindo classification was used to grade postoperative complications. Results Overall mean pain score immediately post-LC was 5.39 (±2.79) out of 10, decreasing to 4.35 (±2.29) 2 days postoperatively. Pain subsided on average in 12.52 (±15.10) days. Mean sleep quality score was 9.26 (±4.50) out of 21, and functional disability averaged 21.20% (±16.87). Multimodal analgesia was used in 25 patients (73.5%). Conclusions Uncomplicated LC was associated with better pain, sleep quality and disability scores than grade II complications, but mean questionnaire scores showed no significant statistical difference. Further implementation of multimodal analgesia, sleep hygiene education and additional support to those with comorbidities could improve outcomes and reduce complications and morbidity. Future research should explore real-time PROMs over extended periods across demographics and comorbid populations.