Sameh Hany Emile, Nir Horesh, Zoe Garoufalia, Rachel Gefen, Justin Dourado, Giovanna Dasilva, Steven D. Wexner
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Factors independently associated with operative time were male sex (<jats:italic>β</jats:italic> = 17.3, 95% CI: 2, 32.5; <jats:italic>p</jats:italic> = 0.026) and extended hemicolectomy (<jats:italic>β </jats:italic>= 67.7, 95% CI: 27.6, 107.9; <jats:italic>p</jats:italic> = 0.001). American Society of Anesthesiologists (ASA) IV classification had a borderline significant association with operative time (<jats:italic>β </jats:italic>= 100.4, 95% CI: −2.05, 202.9; <jats:italic>p</jats:italic> = 0.055). Male sex (<jats:italic>r</jats:italic> = 0.158; <jats:italic>p</jats:italic> = 0.026), body mass index (<jats:italic>r</jats:italic> = 0.205; <jats:italic>p</jats:italic> = 0.004), ASA classification (<jats:italic>r</jats:italic> = 0.232; <jats:italic>p</jats:italic> = 0.001), extended hemicolectomy (<jats:italic>r</jats:italic> = 0.256; <jats:italic>p</jats:italic> < 0.001), and intracorporeal vessel control (<jats:italic>r</jats:italic> = 0.161; <jats:italic>p</jats:italic> = 0.025) had significant positive correlation with operative times. Patients with operative times ≥ 160 min had significantly longer hospital stays (5 vs. 4 days; <jats:italic>p</jats:italic> = 0.043) and similar complication rates to patients with shorter operative times.ConclusionsMale sex, advanced ASA classification, and extended hemicolectomy were independently and significantly associated with longer operative times in laparoscopic right hemicolectomy. Longer operative times were associated with longer hospital stays and similar complication rates.","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors Associated With Prolonged Operative Times in Laparoscopic Right Hemicolectomy and Its Association With Short‐Term Outcomes\",\"authors\":\"Sameh Hany Emile, Nir Horesh, Zoe Garoufalia, Rachel Gefen, Justin Dourado, Giovanna Dasilva, Steven D. Wexner\",\"doi\":\"10.1002/jso.27872\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BackgroundThis study aimed to investigate factors associated with prolonged operative time in laparoscopic right hemicolectomy for colon cancer.MethodsThis was a retrospective review of patients with colon cancer who underwent laparoscopic right hemicolectomy between 2011 and 2021. Linear and binary logistic regression analyses were performed to determine factors associated with prolonged operative time. The association between longer operative times and complications and hospital stay was assessed.ResultsOne hundred and ninety‐seven patients (52.3% female; mean age: 68.8 ± 14.1 years) were included. Factors independently associated with operative time were male sex (<jats:italic>β</jats:italic> = 17.3, 95% CI: 2, 32.5; <jats:italic>p</jats:italic> = 0.026) and extended hemicolectomy (<jats:italic>β </jats:italic>= 67.7, 95% CI: 27.6, 107.9; <jats:italic>p</jats:italic> = 0.001). American Society of Anesthesiologists (ASA) IV classification had a borderline significant association with operative time (<jats:italic>β </jats:italic>= 100.4, 95% CI: −2.05, 202.9; <jats:italic>p</jats:italic> = 0.055). Male sex (<jats:italic>r</jats:italic> = 0.158; <jats:italic>p</jats:italic> = 0.026), body mass index (<jats:italic>r</jats:italic> = 0.205; <jats:italic>p</jats:italic> = 0.004), ASA classification (<jats:italic>r</jats:italic> = 0.232; <jats:italic>p</jats:italic> = 0.001), extended hemicolectomy (<jats:italic>r</jats:italic> = 0.256; <jats:italic>p</jats:italic> < 0.001), and intracorporeal vessel control (<jats:italic>r</jats:italic> = 0.161; <jats:italic>p</jats:italic> = 0.025) had significant positive correlation with operative times. Patients with operative times ≥ 160 min had significantly longer hospital stays (5 vs. 4 days; <jats:italic>p</jats:italic> = 0.043) and similar complication rates to patients with shorter operative times.ConclusionsMale sex, advanced ASA classification, and extended hemicolectomy were independently and significantly associated with longer operative times in laparoscopic right hemicolectomy. Longer operative times were associated with longer hospital stays and similar complication rates.\",\"PeriodicalId\":17111,\"journal\":{\"name\":\"Journal of Surgical Oncology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-09-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jso.27872\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jso.27872","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景本研究旨在调查腹腔镜结肠癌右半结肠切除术手术时间延长的相关因素。方法这是一项回顾性研究,研究对象为2011年至2021年间接受腹腔镜右半结肠切除术的结肠癌患者。进行了线性和二元逻辑回归分析,以确定与手术时间延长相关的因素。结果 共纳入197名患者(52.3%为女性;平均年龄:68.8 ± 14.1岁)。与手术时间独立相关的因素是男性(β = 17.3,95% CI:2,32.5;p = 0.026)和扩大半结肠切除术(β = 67.7,95% CI:27.6,107.9;p = 0.001)。美国麻醉医师协会(ASA)IV 级分类与手术时间(β = 100.4,95% CI:-2.05,202.9;p = 0.055)有边缘显著性关联。男性性别(r = 0.158; p = 0.026)、体重指数(r = 0.205; p = 0.004)、ASA 分级(r = 0.232; p = 0.001)、扩大半结肠切除术(r = 0.256; p < 0.001)和体外血管控制(r = 0.161; p = 0.025)与手术时间呈显著正相关。结论在腹腔镜右半结肠切除术中,男性性别、ASA 分级晚期和扩大半结肠切除术与较长的手术时间显著相关。较长的手术时间与较长的住院时间和相似的并发症发生率有关。
Factors Associated With Prolonged Operative Times in Laparoscopic Right Hemicolectomy and Its Association With Short‐Term Outcomes
BackgroundThis study aimed to investigate factors associated with prolonged operative time in laparoscopic right hemicolectomy for colon cancer.MethodsThis was a retrospective review of patients with colon cancer who underwent laparoscopic right hemicolectomy between 2011 and 2021. Linear and binary logistic regression analyses were performed to determine factors associated with prolonged operative time. The association between longer operative times and complications and hospital stay was assessed.ResultsOne hundred and ninety‐seven patients (52.3% female; mean age: 68.8 ± 14.1 years) were included. Factors independently associated with operative time were male sex (β = 17.3, 95% CI: 2, 32.5; p = 0.026) and extended hemicolectomy (β = 67.7, 95% CI: 27.6, 107.9; p = 0.001). American Society of Anesthesiologists (ASA) IV classification had a borderline significant association with operative time (β = 100.4, 95% CI: −2.05, 202.9; p = 0.055). Male sex (r = 0.158; p = 0.026), body mass index (r = 0.205; p = 0.004), ASA classification (r = 0.232; p = 0.001), extended hemicolectomy (r = 0.256; p < 0.001), and intracorporeal vessel control (r = 0.161; p = 0.025) had significant positive correlation with operative times. Patients with operative times ≥ 160 min had significantly longer hospital stays (5 vs. 4 days; p = 0.043) and similar complication rates to patients with shorter operative times.ConclusionsMale sex, advanced ASA classification, and extended hemicolectomy were independently and significantly associated with longer operative times in laparoscopic right hemicolectomy. Longer operative times were associated with longer hospital stays and similar complication rates.
期刊介绍:
The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.