Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy

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

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저자정보: Jae Uk Chong (Yonsei University) Jin Ho Lee (National Health Insurance Service) Young Chul Yoon (Catholic University) Kuk Hwan Kwon (National Health Insurance Service) Jai Young Cho (Seoul National University) Say-Jun Kim (Catholic University) Jae Keun Kim (Yonsei University) Sung Hoon Kim (Yonsei University) Sae Byeol Choi (Korea University) Kyung Sik Kim (Yonsei University)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제20권 제1호

발행연도: 2016.2

수록면: 12 - 16 (5page)

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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.

#Laparoscopic cholecystectomy #Hospital stay #Postoperative complications

참고문헌 (12)

참고문헌 신청

McMahon AJ, Fischbacher CM, Frame SH, MacLeod MC. Impact of laparoscopic cholecystectomy: a population-based study. Lancet 2000;356:1632-1637.

Shea JA, Berlin JA, Bachwich DR, Staroscik RN, Malet PF, McGuckin M, et al. Indications for and outcomes of cholecystectomy: a comparison of the pre and postlaparoscopic eras. Ann Surg 1998;227:343-350.

Tsang YY, Poon CM, Lee KW, Leong HT. Predictive factors of long hospital stay after laparoscopic cholecystectomy. Asian J Surg 2007;30:23-28.

Morimoto Y, Mizuno H, Akamaru Y, Yasumasa K, Noro H, Kono E, et al. Predicting prolonged hospital stay after laparoscopic cholecystectomy. Asian J Endosc Surg 2015;8:289-295.

Choi JB, Lim JH, Kim SH, Lee SY, Lee SJ, Kim KS. Feasible factors to reduce hospital days after laparoscopic cholecystectomy. J Minim Invasive Surg 2014;17:80-84.

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