Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 12-16, 2016.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Douleur postopératoire
/
Anatomopathologie
/
Complications postopératoires
/
Fumée
/
Fumer
/
Analyse multifactorielle
/
Études rétrospectives
/
Cholécystectomie laparoscopique
/
Diabète
/
Urgences
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Année:
2016
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS