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Factors influencing operation time of laparoscopy-assisted distal subtotal gastrectomy: analysis of consecutive 100 initial cases

Authors
 W.J. Hyung  ;  C. Song  ;  S.H. Noh  ;  S.H. Choi  ;  J.H. Cheong 
Citation
 EJSO, Vol.33(3) : 314-319, 2007 
Journal Title
 EJSO 
ISSN
 0748-7983 
Issue Date
2007
MeSH
Adult ; Aged ; Female ; Gastrectomy/methods* ; Humans ; Laparoscopy* ; Length of Stay ; Lymph Node Excision ; Male ; Middle Aged ; Patient Selection ; Regression Analysis ; Retrospective Studies ; Stomach Neoplasms/surgery* ; Time Factors ; Treatment Outcome
Abstract
AIMS: There is little information on patient selection criteria for laparoscopy-assisted distal gastrectomy (LADG) that would facilitate a successful initial experience for a surgeon new to the procedure. This study aimed to establish patient selection criteria that will allow increased proficiency and shorter operation times for the LADG procedure. METHOD: One hundred LADG with lymphadenectomy and no other combined procedures were consecutively performed by one surgeon. These 100 consecutive LADG procedures were analyzed retrospectively from a prospectively designed computer database. Uni- and multivariate analyses were performed to identify factors influencing operation time. RESULTS: According to univariate analysis, operation time was influenced by sex, BMI, surgical experience, and tumor location, whereas multivariate analysis indicated that operation time was significantly influenced only by BMI and surgical experience. The same analyses of only the first 50 cases showed that sex, BMI, surgical experience, and tumor location were independently associated with operation time. As BMI increased, so did operation time, whereas operation time decreased with increasing surgical experience. CONCLUSION: This study suggests that surgeons who have limited experience with this advanced procedure may shorten operation time by considering patient and tumor characteristics in their early attempts at LADG. With a shortened operation time, surgeon with limited experience may become proficient to LADG rapidly.
Full Text
http://www.sciencedirect.com/science/article/pii/S0748798306004616
DOI
10.1016/j.ejso.2006.11.010
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Song, Chang Soo(송창수)
Cheong, Jae Ho(정재호) ORCID logo https://orcid.org/0000-0002-1703-1781
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0002-9872-3594
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96009
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