BACKGROUND: This study aimed to identify factors affecting laparoscopic colorectal operative duration and determine the impact of prolonged operative time. METHODS: Data were collected prospectively on all laparoscopic colorectal operations performed within 1 institution over a period of 4 years. Patients' demographics, CR-POSSUM scores, intraoperative details, surgeon experience, and postoperative outcomes were recorded and assessed in relation to operative duration. RESULTS: Two hundred laparoscopic colorectal operations were performed (137 cancers, 63 benign). Operation duration correlated to operation type (P<0.001) and CR-POSSUM mortality risk (P = 0.03). Operative duration positively correlated with incidence of postoperative complications (P = 0.02) and length of stay (P = 0.05). Operation time >180 minutes was associated with increased incidence of postoperative complications (P = 0.006). CONCLUSIONS: The type of laparoscopic colorectal surgical operation performed has a significantly greater impact upon operative duration than individual patient parameters, pathology, or surgical experience. Operative time is associated with a greater risk of complications and longer hospital stay.
BACKGROUND: This study aimed to identify factors affecting laparoscopic colorectal operative duration and determine the impact of prolonged operative time. METHODS: Data were collected prospectively on all laparoscopic colorectal operations performed within 1 institution over a period of 4 years. Patients' demographics, CR-POSSUM scores, intraoperative details, surgeon experience, and postoperative outcomes were recorded and assessed in relation to operative duration. RESULTS: Two hundred laparoscopic colorectal operations were performed (137 cancers, 63 benign). Operation duration correlated to operation type (P<0.001) and CR-POSSUM mortality risk (P = 0.03). Operative duration positively correlated with incidence of postoperative complications (P = 0.02) and length of stay (P = 0.05). Operation time >180 minutes was associated with increased incidence of postoperative complications (P = 0.006). CONCLUSIONS: The type of laparoscopic colorectal surgical operation performed has a significantly greater impact upon operative duration than individual patient parameters, pathology, or surgical experience. Operative time is associated with a greater risk of complications and longer hospital stay.
Authors: Umashankkar Kannan; Vemuru Sunil K Reddy; Amar N Mukerji; Vellore S Parithivel; Ajay K Shah; Brian F Gilchrist; Daniel T Farkas Journal: World J Gastroenterol Date: 2015-12-07 Impact factor: 5.742
Authors: Deborah S Keller; Blake Bankwitz; Donya Woconish; Bradley J Champagne; Harry L Reynolds; Sharon L Stein; Conor P Delaney Journal: Surg Endosc Date: 2013-08-27 Impact factor: 4.584
Authors: Marcello Giuseppe Spampinato; Andrea Coratti; Luigi Bianco; Fabio Caniglia; Andrea Laurenzi; Francesco Puleo; Giuseppe Maria Ettorre; Ugo Boggi Journal: Surg Endosc Date: 2014-05-23 Impact factor: 4.584
Authors: Deborah S Keller; Juan R Flores-Gonzalez; Sergio Ibarra; Nisreen Madhoun; Reena Tahilramani; Ali Mahmood; Eric M Haas Journal: Surg Endosc Date: 2015-09-28 Impact factor: 4.584
Authors: Daiane Oliveira Tayar; Ulysses Ribeiro; Ivan Cecconello; Tiago M Magalhães; Claudia M Simões; José Otávio C Auler Journal: Clinicoecon Outcomes Res Date: 2018-09-12