抄録
Background: A prolonged operative time is associated with adverse post-operative outcomes in laparoscopic surgery. Although a single-incision laparoscopic cholecystectomy (SILC) requires a longer operative time as compared with a conventional laparoscopic cholecystectomy, risk factors for a prolonged operative time in SILC remain unknown. Methods: A total of 20 clinical variables were retrospectively reviewed to identify factors for a prolonged operative time (longer than 3 h) in a total of 220 consecutive patients undergoing SILC. Results: The median operative time was 145 min (range, 55-435) and a prolonged operative time was required in 62 patients (28%). Independent factors that predict a prolonged operative time as identified through multivariate analysis were body mass index (BMI) (P = 0.009), acute cholecystitis (P < 0.001) and operator (resident or staff surgeon) (P < 0.001). Furthermore, a prolonged operative time was significantly associated with an increased amount of intra-operative blood loss (P < 0.001) and a prolonged stay after surgery (P < 0.001). Conclusions: These findings suggest that a higher BMI, acute cholecystitis and a resident as an operator significantly increase the duration of SILC procedures.
| 元の言語 | 英語 |
|---|---|
| ページ（範囲） | 177-182 |
| ページ数 | 6 |
| ジャーナル | HPB |
| 巻 | 16 |
| 発行部数 | 2 |
| DOI | |
| 出版物ステータス | 出版済み - 1 1 2014 |
| 外部発表 | Yes |
Fingerprint
All Science Journal Classification (ASJC) codes
- Hepatology
- Gastroenterology
これを引用
Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy. / Sato, Norihiro; Yabuki, Kei; Shibao, Kazunori; Mori, Yasuhisa; Tamura, Toshihisa; Higure, Aiichiro; Yamaguchi, Koji.
：: HPB, 巻 16, 番号 2, 01.01.2014, p. 177-182.研究成果: ジャーナルへの寄稿 › 記事
}
TY - JOUR
T1 - Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy
AU - Sato, Norihiro
AU - Yabuki, Kei
AU - Shibao, Kazunori
AU - Mori, Yasuhisa
AU - Tamura, Toshihisa
AU - Higure, Aiichiro
AU - Yamaguchi, Koji
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Background: A prolonged operative time is associated with adverse post-operative outcomes in laparoscopic surgery. Although a single-incision laparoscopic cholecystectomy (SILC) requires a longer operative time as compared with a conventional laparoscopic cholecystectomy, risk factors for a prolonged operative time in SILC remain unknown. Methods: A total of 20 clinical variables were retrospectively reviewed to identify factors for a prolonged operative time (longer than 3 h) in a total of 220 consecutive patients undergoing SILC. Results: The median operative time was 145 min (range, 55-435) and a prolonged operative time was required in 62 patients (28%). Independent factors that predict a prolonged operative time as identified through multivariate analysis were body mass index (BMI) (P = 0.009), acute cholecystitis (P < 0.001) and operator (resident or staff surgeon) (P < 0.001). Furthermore, a prolonged operative time was significantly associated with an increased amount of intra-operative blood loss (P < 0.001) and a prolonged stay after surgery (P < 0.001). Conclusions: These findings suggest that a higher BMI, acute cholecystitis and a resident as an operator significantly increase the duration of SILC procedures.
AB - Background: A prolonged operative time is associated with adverse post-operative outcomes in laparoscopic surgery. Although a single-incision laparoscopic cholecystectomy (SILC) requires a longer operative time as compared with a conventional laparoscopic cholecystectomy, risk factors for a prolonged operative time in SILC remain unknown. Methods: A total of 20 clinical variables were retrospectively reviewed to identify factors for a prolonged operative time (longer than 3 h) in a total of 220 consecutive patients undergoing SILC. Results: The median operative time was 145 min (range, 55-435) and a prolonged operative time was required in 62 patients (28%). Independent factors that predict a prolonged operative time as identified through multivariate analysis were body mass index (BMI) (P = 0.009), acute cholecystitis (P < 0.001) and operator (resident or staff surgeon) (P < 0.001). Furthermore, a prolonged operative time was significantly associated with an increased amount of intra-operative blood loss (P < 0.001) and a prolonged stay after surgery (P < 0.001). Conclusions: These findings suggest that a higher BMI, acute cholecystitis and a resident as an operator significantly increase the duration of SILC procedures.
UR - http://www.scopus.com/inward/record.url?scp=84892590295&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84892590295&partnerID=8YFLogxK
U2 - 10.1111/hpb.12100
DO - 10.1111/hpb.12100
M3 - Article
VL - 16
SP - 177
EP - 182
JO - HPB
JF - HPB
SN - 1365-182X
IS - 2
ER -