Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy

Abstract

Backgrounds/AimsLaparoscopic 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.MethodsPatients (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.ResultsThe 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.ConclusionsOperation 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.

Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

“…Regarding the classification of the infection site, as mentioned, the patients were diagnosed with superficial incisional infection, in line with the results of other studies that present 93.8, 100.0 and 85.7% of infection cases classified in this area (5,8,12) . Superficial incisional infection is easily diagnosed because it involves only skin and subcutaneous tissue and at least one of the following most frequent signs and symptoms: purulent drainage of the incision, local edema, increased sensitivity, pain and hyperemia (1) .…”

Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy

“…Improvement in LC and anesthetic techniques, together with increased familiarity with the procedure, has led to progressively shorter hospital stays [ 7 ]. However, two studies have reported that LC patients fulfilling the following criteria had a significant association with longer hospital stays: patients aged more than 60 years, patients with ASA class 3, patients with complicated gallstones, patients with increased operative time, patients with intraoperative findings of thickened gallbladder wall, and patients with adhesions and perforations of the gallbladder [ 8 , 9 ].…”

A study on laparoscopic cholecystectomy, indications, complications and conversion to open in a tertiary care hospital

“…In their study the factors increasing the post-op hospital stay were previous abdominal surgeries, prolonged operative time, peri-operative blood transfusions, emergency operation, acute inflammation and surgical site infection. 10 Though many if these factors were not evaluated or correlated in our study and as all the surgeries done in the present study were performed on elective basis a clear comparision can't be made between these two studies, however the main factors responsible for prolonged hospital stay in our study were conversion to open and post-op complications.…”