Sameh Hany Emile, Nir Horesh, Zoe Garoufalia, Rachel Gefen, Justin Dourado, Giovanna Dasilva, Steven D. Wexner
{"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}
引用次数: 0
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 (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.