Retrospective study identifies male sex and elevated BMI as key risk factors for prolonged operative time in UC surgery, suggesting the need for careful planning.
Key Points
This study aims to identify risk factors associated with prolonged operative time in hand-sewn Lap-IPAA for ulcerative colitis.
Retrospective single-center study of 156 patients with ulcerative colitis who underwent hand-sewn Lap-IPAA from January 2018 to June 2024.
Excluded patients receiving stapled IPAA or open surgery; collected data included clinical, surgical, and perioperative information.
Performed univariate and multivariate logistic regression analyses to determine independent risk factors.
Multivariate analysis revealed male sex as an independent risk factor for prolonged operative time (OR 5.153; 95% CI 1.927-13.779; p < 0.001).
Elevated BMI was also identified as a significant risk factor (OR 1.323; 95% CI 1.146-1.526; p < 0.001).
Other variables like UC severity, albumin levels, CRP, and preoperative immunosuppressive therapies were not significantly associated with operative time.