Author： Subhas Gokulakkrishna Gupta Aditya Bhullar Jasneet Dubay Linda Ferguson Lorenzo Goriel Yousif Jacobs Michael J. Kolachalam Ramachandra B. Silapaswan Sumet Mittal Vijay K.
Publisher： Southeastern Surgical Congress
ISSN： 0003-1348
Source： The American Surgeon, Vol.77, Iss.8, 2011-08, pp. : 981-984
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Abstract
For the experienced surgeon, the average operative time for a laparoscopic cholecystectomy is less than 1 hour. There has been no study documenting the causes and results of prolonged (longer than 3 hours) surgery. A retrospective study was done of patients who underwent cholecystectomy between January 2003 and December 2007. A total of 3126 cholecystectomies were done. After excluding patients who had a planned open cholecystectomy and patients who had additional laparoscopic surgeries, we identified 70 patients who had a planned laparoscopic cholecystectomy with operative time exceeding 3 hours. Multivariate stepwise logistic regression was performed analyzing the various factors leading to prolonged surgery. Of the 70 patients, ranging in age from 21 to 92 years (mean, 57 years), most (n = 53) were female. Operative time ranged from 3 hours to 6 hours 40 minutes (mean, 3 hours 37 minutes). Emergency:elective admission ratio was 9:5 and acute cholecystitis (n = 40) was the most common indication. Common characteristics were obesity (n = 44,
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