Risk factors for a prolonged operative time in a single‐incision laparoscopic cholecystectomy
Abstract 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...
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| Veröffentlicht in: | HPB (Oxford, England) England), 2014-02, Vol.16 (2), p.177-182 |
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| creator | Sato, Norihiro Yabuki, Kei Shibao, Kazunori Mori, Yasuhisa Tamura, Toshihisa Higure, Aiichiro Yamaguchi, Koji |
| description | Abstract 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. |
| doi_str_mv | 10.1111/hpb.12100 |
| format | Article |
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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.</description><identifier>ISSN: 1365-182X</identifier><identifier>EISSN: 1477-2574</identifier><identifier>DOI: 10.1111/hpb.12100</identifier><identifier>PMID: 23557447</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Blood Loss, Surgical ; Body Mass Index ; Breasts ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystectomy, Laparoscopic - methods ; Cholecystitis, Acute - diagnosis ; Cholecystitis, Acute - surgery ; Female ; Gallbladder ; Gallbladder diseases ; Gastroenterology and Hepatology ; Humans ; Length of Stay ; Male ; Middle Aged ; Multivariate analysis ; Operative Time ; Original ; Plastic surgery ; Retrospective Studies ; Risk Factors ; Treatment Outcome</subject><ispartof>HPB (Oxford, England), 2014-02, Vol.16 (2), p.177-182</ispartof><rights>International Hepato-Pancreato-Biliary Association</rights><rights>2014 International Hepato-Pancreato-Biliary Association</rights><rights>2013 International Hepato‐Pancreato‐Biliary Association</rights><rights>2013 International Hepato-Pancreato-Biliary Association.</rights><rights>Copyright © 2014 International Hepato-Pancreato-Biliary Association</rights><rights>2013 International Hepato-Pancreato-Biliary Association 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5420-6227302a4173e9996fe91a8302db1557964db9f8b21efd82e31fa667bf9976bd3</citedby><cites>FETCH-LOGICAL-c5420-6227302a4173e9996fe91a8302db1557964db9f8b21efd82e31fa667bf9976bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921014/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921014/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1416,27922,27923,45572,45573,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23557447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sato, Norihiro</creatorcontrib><creatorcontrib>Yabuki, Kei</creatorcontrib><creatorcontrib>Shibao, Kazunori</creatorcontrib><creatorcontrib>Mori, Yasuhisa</creatorcontrib><creatorcontrib>Tamura, Toshihisa</creatorcontrib><creatorcontrib>Higure, Aiichiro</creatorcontrib><creatorcontrib>Yamaguchi, Koji</creatorcontrib><title>Risk factors for a prolonged operative time in a single‐incision laparoscopic cholecystectomy</title><title>HPB (Oxford, England)</title><addtitle>HPB (Oxford)</addtitle><description>Abstract 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Loss, Surgical</subject><subject>Body Mass Index</subject><subject>Breasts</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystectomy, Laparoscopic - methods</subject><subject>Cholecystitis, Acute - diagnosis</subject><subject>Cholecystitis, Acute - surgery</subject><subject>Female</subject><subject>Gallbladder</subject><subject>Gallbladder diseases</subject><subject>Gastroenterology and Hepatology</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Operative Time</subject><subject>Original</subject><subject>Plastic surgery</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><issn>1365-182X</issn><issn>1477-2574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1Ustu1TAQtRCIPmDBD6BIrFik9SOJ400lqIAiVSriIbGzHGdy77S5drBzL8qun8A39kvq9PYBCCxLtjxnjs-cGUJeMHrA0jpcDs0B44zSR2SXFVLmvJTF43QXVZmzmn_fIXsxnlOaMEw9JTtclAlRyF2iP2O8yDpjRx9i1vmQmWwIvvduAW3mBwhmxA1kI64gQ5eiEd2ih6vLX-gsRvQu681ggo_WD2gzu_Q92CmOkChX0zPypDN9hOe35z759v7d1-OT_PTsw8fjN6e5LQtO84pzKSg3BZMClFJVB4qZOj21DUtaVVW0jerqhjPo2pqDYJ2pKtl0SsmqacU-OdryDutmBa0FNwbT6yHgyoRJe4P6z4jDpV74jRZqNqVIBK9uCYL_sYY46nO_Di5p1rOlopbsBvV6i7Kp4Bigu_-BUT33Qqde6JteJOzL3yXdI-_MT4DDLeAn9jD9n0mffHp7Rym2GZCs3CAEHS2Cs9BiSH7r1uM_hRz9lWV7dGhNfwETxIc6deSa6i_z2MxTw0qRdlmKazSyvCo</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Sato, Norihiro</creator><creator>Yabuki, Kei</creator><creator>Shibao, Kazunori</creator><creator>Mori, Yasuhisa</creator><creator>Tamura, Toshihisa</creator><creator>Higure, Aiichiro</creator><creator>Yamaguchi, Koji</creator><general>Elsevier Ltd</general><general>Wiley Subscription Services, Inc</general><general>Blackwell Publishing Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>5PM</scope></search><sort><creationdate>201402</creationdate><title>Risk factors for a prolonged operative time in a single‐incision laparoscopic cholecystectomy</title><author>Sato, Norihiro ; Yabuki, Kei ; Shibao, Kazunori ; Mori, Yasuhisa ; Tamura, Toshihisa ; Higure, Aiichiro ; Yamaguchi, Koji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5420-6227302a4173e9996fe91a8302db1557964db9f8b21efd82e31fa667bf9976bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Loss, Surgical</topic><topic>Body Mass Index</topic><topic>Breasts</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystectomy, Laparoscopic - methods</topic><topic>Cholecystitis, Acute - diagnosis</topic><topic>Cholecystitis, Acute - surgery</topic><topic>Female</topic><topic>Gallbladder</topic><topic>Gallbladder diseases</topic><topic>Gastroenterology and Hepatology</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Operative Time</topic><topic>Original</topic><topic>Plastic surgery</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sato, Norihiro</creatorcontrib><creatorcontrib>Yabuki, Kei</creatorcontrib><creatorcontrib>Shibao, Kazunori</creatorcontrib><creatorcontrib>Mori, Yasuhisa</creatorcontrib><creatorcontrib>Tamura, Toshihisa</creatorcontrib><creatorcontrib>Higure, Aiichiro</creatorcontrib><creatorcontrib>Yamaguchi, Koji</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>HPB (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sato, Norihiro</au><au>Yabuki, Kei</au><au>Shibao, Kazunori</au><au>Mori, Yasuhisa</au><au>Tamura, Toshihisa</au><au>Higure, Aiichiro</au><au>Yamaguchi, Koji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for a prolonged operative time in a single‐incision laparoscopic cholecystectomy</atitle><jtitle>HPB (Oxford, England)</jtitle><addtitle>HPB (Oxford)</addtitle><date>2014-02</date><risdate>2014</risdate><volume>16</volume><issue>2</issue><spage>177</spage><epage>182</epage><pages>177-182</pages><issn>1365-182X</issn><eissn>1477-2574</eissn><abstract>Abstract 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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>23557447</pmid><doi>10.1111/hpb.12100</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Blood Loss, Surgical Body Mass Index Breasts Cholecystectomy, Laparoscopic - adverse effects Cholecystectomy, Laparoscopic - methods Cholecystitis, Acute - diagnosis Cholecystitis, Acute - surgery Female Gallbladder Gallbladder diseases Gastroenterology and Hepatology Humans Length of Stay Male Middle Aged Multivariate analysis Operative Time Original Plastic surgery Retrospective Studies Risk Factors Treatment Outcome |
| title | Risk factors for a prolonged operative time in a single‐incision laparoscopic cholecystectomy |
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