Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy

Norihiro Sato, Kei Yabuki, Kazunori Shibao, Yasuhisa Mori, Toshihisa Tamura, Aiichiro Higure, Koji Yamaguchi

研究成果: ジャーナルへの寄稿記事

8 引用 (Scopus)

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
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

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Laparoscopic Cholecystectomy
Operative Time
Acute Cholecystitis
Body Mass Index
Laparoscopy
Multivariate Analysis

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

これを引用

Sato, N., Yabuki, K., Shibao, K., Mori, Y., Tamura, T., Higure, A., & Yamaguchi, K. (2014). Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy. HPB, 16(2), 177-182. https://doi.org/10.1111/hpb.12100

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

Sato, N, Yabuki, K, Shibao, K, Mori, Y, Tamura, T, Higure, A & Yamaguchi, K 2014, 'Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy', HPB, 巻. 16, 番号 2, pp. 177-182. https://doi.org/10.1111/hpb.12100
Sato, Norihiro ; Yabuki, Kei ; Shibao, Kazunori ; Mori, Yasuhisa ; Tamura, Toshihisa ; Higure, Aiichiro ; Yamaguchi, Koji. / Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy. :: HPB. 2014 ; 巻 16, 番号 2. pp. 177-182.
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AU - Yamaguchi, Koji

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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.

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