Impact of patient factors on operative duration during laparoscopic cholecystectomy: evaluation from the National Surgical Quality Improvement Program database - 28/07/16
, Denny Yu, Ph.D. aAbstract |
Background |
Patient factors impact laparoscopic cholecystectomy (LC) difficulty, specifically operative duration. This study quantifies the impact of patient factors on LC duration.
Methods |
The national surgery database (American College of Surgeons National Surgical Quality Improvement Program) was reviewed for all elective LC for biliary colic from 2005 to 2013. Multivariate general linear model and logistic regression were used to evaluate patient factors as predictors of operative duration greater than 60 minutes, adjusted for resident involvement and cholangiography.
Results |
A total of 24,099 LC met inclusion criteria. Regression analysis found procedure duration greater than 60 minutes was less likely for patients age greater than 40 and less than 30 (P < .001) and more likely for men (P < .05), body mass index (BMI) greater than 30 compared with BMI 18.5 to 24.9 (P < .05), abnormal liver function test (LFT) (P < .05), and higher ASA class (P < .05). Smoking, cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and abnormal white blood cell count were not significant predictors.
Conclusions |
Higher BMI, younger age, male gender, higher ASA, and abnormal LFTs are possible predictors of prolonged LC duration and can aid in operating room scheduling and utilization.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Predicting surgical duration is important for OR scheduling and utilization. |
• | Patient factors can aid in scheduling of laparoscopic cholecystectomies (LC). |
• | BMI, age, gender, ASA, and LFT are significant predictors of LC >60 minutes. |
Keywords : Laparoscopic cholecystectomy, Patient factors, Procedure duration, Procedural difficulty, NSQIP, Science of health care delivery
Plan
| B.L. is supported through research grants from AHRQ and Stryker Endoscopy. C.A.T. and E.B.H. have nothing to disclose. S.H. has research funding from Stryker Endoscopy and Midwest Center for Occupational Health and Safety Education and Research Center. J.B. is supported through a research grant (NIDDK), specified research through Nestle and Stryker Endoscopy, has received travel support from Intuitive Surgical, and serves on the Surgeon Advisory Board for Titan Medical. D.Y. reports grants support from Stryker Endoscopy, Midwest Center for Occupational Health and Safety Education and Research Center, and AcademyHealth outside this submitted work. |
Vol 212 - N° 2
P. 289-296 - août 2016 Retour au numéro
Article précédent
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