Key result
Increasing operative time was independently associated with increased odds of 30-day complications in laparoscopic cholecystectomy (OR 1.01).
Why the study?
Controversy exists concerning the importance of operative time on patient outcomes.
Does increasing operative time increase 30-day postoperative complications in patients undergoing elective laparoscopic surgery?
Observational (n=61)
No
Does increasing operative time increase 30-day postoperative complications in patients undergoing elective laparoscopic surgery?
Effect estimate: OR 1.01 (95% CI 1.003, 1.005)
p-value: p=<0.001
Increasing operative time in laparoscopic surgery is independently associated with increased odds of 30-day postoperative complications.
Longer operative time was associated with more complications after laparoscopic cholecystectomy; leaves open whether shortening procedures reduces risk.
Operating time is interval between the instant of the occurrence of specified input condition to system and the instant of completion of a specified operation. Operations carried out for the correction of deformities and defects, repair of injuries and diagnosis and cure of certain diseases. Controversy exists concerning the importance of operative time on patient outcomes. Objective: The aim of this study was to identify the impact of operative time on outcome in laparoscopic surgery. Methods: Purposive sampling method was applied to get desired number of samples. A total number of 61 cases were enrolled in this study. Data were collected in a pre-designed data collection sheet from the records of laparoscopic surgery cases of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh after taking permission from the authority. Patients who underwent laparoscopic general surgery procedures (colectomy, cholecystectomy, Nissen fundoplication and inguinal hernia. from the 2017-2019 participant use file were identified. Results: A total of 61 elective general surgical patients who underwent laparoscopic procedures were analyzed. Univariate analyses of deciles of operative time demonstrated a statistically significant trend toward increasing odds of complications with increasing operative time for laparoscopic colectomy (n=10), cholecystectomy (n=32), Nissen fundoplication (n=4), and laparoscopic inguinal hernia repairs (n=15). Multivariate modeling revealed the effect of operative time to remain significant after controlling for additional patient factors. Conclusion: Increasing operative time was associated with increased odds of complications and, therefore, it appears that speed may matter in laparoscopic surgery.
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Bc et al. (2021) conducted an observational in Elective laparoscopic general surgery (n=61). Increasing operative time vs. Shorter operative time was evaluated on 30-day morbidity (laparoscopic cholecystectomy) (OR 1.01, 95% CI 1.003, 1.005, p=<0.001). Increasing operative time was independently associated with increased odds of 30-day complications in laparoscopic cholecystectomy (OR 1.01).
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