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Elective laparoscopic cholecystectomy

Preoperative prediction of duration of surgery

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Abstract

Background

Efficient use of operating time has become a key concern. The aim of this study was to determine preoperative factors that can predict extended duration of operating time (>90 min) for laparoscopic cholecystectomy (LC).

Methods

Data collected prospectively on 827 consecutive patients who underwent elective LC between 1990 and 1997 were analyzed. Factors evaluated included age, gender; body mass index; comorbidity; duration of symptoms; history of jaundice, pancreatitis, or abdominal surgery; dilated common bile duct or thick-walled gallbladder on ultrasound; preoperative endoscopic retrograde cholangiopan-creatography (ERCP) and endoscopic sphincterotomy (ES); and surgeon experience. Univariate and multivariate analyses were performed to identify factors predicting a long operation.

Results

Operating time was longer than 90 min in 276 patients (33%). Predictors of extended operation time were age older than 55 years (odds ratio [OR] = 9.7), preoperative ES (OR = 2.8), and a thick-walled gallbladder on ultrasound (OR = 2.5).

Conclusion

These predictors may be useful in planning theater lists and anesthesia management, and in selecting patients for day surgery.

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Authors and Affiliations

  1. Leeds Institute for Minimally Invasive Therapy (LIMIT), Wellcome Wing, The General Infirmary, Great George Street, LS1 3EX, Leeds, UK

    B. J. Ammori, M. Larvin & M. J. McMahon

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  1. B. J. Ammori
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  2. M. Larvin
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  3. M. J. McMahon
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Ammori, B.J., Larvin, M. & McMahon, M.J. Elective laparoscopic cholecystectomy. Surg Endosc 15, 297–300 (2001). https://doi.org/10.1007/s004640000247

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  • DOI: https://doi.org/10.1007/s004640000247

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