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.
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.
Authors: Jeffrey Marks; Roberto Tacchino; Kurt Roberts; Raymond Onders; George Denoto; Paraskevas Paraskeva; Homero Rivas; Nathaniel Soper; Alexander Rosemurgy; Sajani Shah Journal: Am J Surg Date: 2011-03 Impact factor: 2.565
Authors: S Trastulli; R Cirocchi; J Desiderio; S Guarino; A Santoro; A Parisi; G Noya; C Boselli Journal: Br J Surg Date: 2012-11-12 Impact factor: 6.939
Authors: Masahiko Hirota; Tadahiro Takada; Yoshifumi Kawarada; Yuji Nimura; Fumihiko Miura; Koichi Hirata; Toshihiko Mayumi; Masahiro Yoshida; Steven Strasberg; Henry Pitt; Thomas R Gadacz; Eduardo de Santibanes; Dirk J Gouma; Joseph S Solomkin; Jacques Belghiti; Horst Neuhaus; Markus W Büchler; Sheung-Tat Fan; Chen-Guo Ker; Robert T Padbury; Kui-Hin Liau; Serafin C Hilvano; Giulio Belli; John A Windsor; Christos Dervenis Journal: J Hepatobiliary Pancreat Surg Date: 2007-01-30
Authors: Jonathan M Hernandez; Connor A Morton; Sharona Ross; Michael Albrink; Alexander S Rosemurgy Journal: Am Surg Date: 2009-08 Impact factor: 0.688
Authors: Sung Gon Kim; Ju Ik Moon; In Seok Choi; Sang Eok Lee; Nak Song Sung; Ki Won Chun; Hye Yoon Lee; Dae Sung Yoon; Won Jun Choi Journal: Ann Surg Treat Res Date: 2016-05-30 Impact factor: 1.859
Authors: J Micah Prendergast; Alexander C Perry; Vikas V Patel; Emily M Lindley; Mark E Rentschler Journal: Appl Bionics Biomech Date: 2017-07-27 Impact factor: 1.781