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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Sato, Norihiro Yabuki, Kei Shibao, Kazunori Mori, Yasuhisa Tamura, Toshihisa Higure, Aiichiro Yamaguchi, Koji |
| Description | Country affiliation: Japan Author Affiliation: Sato N ( Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.) |
| 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. |
| File Format | HTM / HTML |
| ISSN | 1365182X |
| e-ISSN | 14772574 |
| DOI | 10.1111/hpb.12100 |
| Journal | HPB |
| Issue Number | 2 |
| Volume Number | 16 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2014-02-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Discipline Gastroenterology Cholecystectomy, Laparoscopic Cholecystitis, Acute Surgery Operative Time Adolescent Blood Loss, Surgical Body Mass Index Adverse Effects Diagnosis Length Of Stay Retrospective Studies Risk Factors |
| Content Type | Text |
| Resource Type | Article |
| Subject | Hepatology Gastroenterology |
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