Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 12-16, 2016.
Article
in English
| WPRIM
| ID: wpr-204989
ABSTRACT
BACKGROUNDS/AIMS:
Laparoscopic cholecystectomy can reduce postoperative pain and recovery time. However, some patients experience prolonged postoperative hospital stay. We aimed to identify factors influencing the postoperative hospital stay after laparoscopic cholecystectomy.METHODS:
Patients (n=336) undergoing laparoscopic cholecystectomy for gallbladder pathology at 8 hospitals were enrolled and divided into 2 groups 2 or less and more than 2 days postoperative stay. Perioperative factors and patient factors were retrospectively analyzed.RESULTS:
The patient population median age was 52 years, and consisted of 32 emergency and 304 elective operations. A univariate analysis of perioperative factors revealed significant differences in operation time (p<0.001), perioperative transfusion (p=0.006), emergency operation (p<0.001), acute inflammation (p<0.001), and surgical site infection (p=0.041). A univariate analysis of patient factors revealed significant differences in age (p<0.001), gender (p=0.036), diabetes mellitus (p=0.011), preoperative albumin level (p=0.024), smoking (p=0.010), and American Society of Anesthesiologists score (p=0.003). In a multivariate analysis, operation time (p<0.001), emergency operation (p<0.001), age (p=0.014), and smoking (p=0.022) were identified as independent factors influencing length of postoperative hospital stay.CONCLUSIONS:
Operation time, emergency operation, patient age, and smoking influenced the postoperative hospital stay and should be the focus of efforts to reduce hospital stay after laparoscopic cholecystectomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Pathology
/
Postoperative Complications
/
Smoke
/
Smoking
/
Multivariate Analysis
/
Retrospective Studies
/
Cholecystectomy, Laparoscopic
/
Diabetes Mellitus
/
Emergencies
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Year:
2016
Type:
Article
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