Cited 0 times in

Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy

Authors
 Jae Uk Chong  ;  Jin Ho Lee  ;  Young Chul Yoon  ;  Kuk Hwan Kwon  ;  Jai Young Cho  ;  Say-Jun Kim  ;  Jae Keun Kim  ;  Sung Hoon Kim  ;  Sae Byeol Choi  ;  Kyung Sik Kim 
Citation
 Korean Journal of Hepato-Biliary-Pancreatic Surgery, Vol.20(1) : 12-16, 2016 
Journal Title
Korean Journal of Hepato-Biliary-Pancreatic Surgery(한국간담췌외과학회지)
ISSN
 1738-6349 
Issue Date
2016
Keywords
Hospital stay ; Laparoscopic cholecystectomy ; Postoperative complications
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.
Files in This Item:
T201600987.pdf Download
DOI
10.14701/kjhbps.2016.20.1.12
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Jae Keun(김재근)
Chong, Jae Uk(정재욱)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146617
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links