Predicting prolonged hospital stay after laparoscopic cholecystectomy

Asian Journal of Endoscopic Surgery
Yoshikazu MorimotoYoshio Yamasaki

Abstract

Widespread application of laparoscopic cholecystectomy (LC) has resulted in a high complication rate and leads to prolonged hospital stays. This study aimed to investigate the preoperative and intraoperative clinical factors that relate to prolongation of hospital stay. We studied 370 patients who underwent LC for gallbladder disease between 2008 and 2012. Clinical risk factors were retrospectively collected. The clinical pathway for LC was indicated for all patients, and they were divided into two groups according to postoperative length of stay (LOS): the normal duration group (LOS ≤5 days) and the long duration (LD) group (LOS ≥6 days). Multiple regression analysis was used to predict risk factors that identified hospital prolongation to create a LOS prediction score. The normal duration group was 236 patients and the LD group was 134. Seventeen patients (4.6%) required conversion from laparoscopic to open surgery. LOS was 4.82 days in the normal duration group and 12.08 days in the LD group. In the LD group, 18.7% of the patients stayed more than 14 days, but no patients were readmitted. Thirteen clinical factors were statistically different between the two groups. ASA score and LC difficulty were the most predictive risk f...Continue Reading

References

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Citations

Mar 1, 2016·Korean Journal of Hepato-biliary-pancreatic Surgery·Jae Uk ChongKyung Sik Kim
Aug 15, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Samer T ElsamnaAziz M Merchant
Apr 25, 2019·World Journal of Surgery·A M El-SharkawyUNKNOWN CholeS Study Group, West Midlands Research Collaborative

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