腹腔镜胆囊切除术患者因素对手术时间的影响——来自国家外科质量改进项目数据库的评价

腹腔镜胆囊切除术患者因素对手术时间的影响——来自国家外科质量改进项目数据库的评价
Impact of patient factors on operative duration during laparoscopic cholecystectomy- evaluation from the National Surgical Quality Improvement Program database

Abstract
BACKGROUND:
Patient factors impact laparoscopic cholecystectomy (LC) difficulty, specifically operative duration. This study quantifies the impact of patient factors on LC duration.
摘要
背景：
患者因素影响腹腔镜胆囊切除术（腹腔镜胆囊切除术）难度，特别是手术时间。本研究量化的影响，患者因素对液晶持续时间。

METHODS:
The national surgery database (American College of Surgeons National Surgical Quality Improvement Program) was reviewed for all elective LC for biliary colic from 2005 to 2013. Multivariate general linear model and logistic regression were used to evaluate patient factors as predictors of operative duration greater than 60 minutes, adjusted for resident involvement and cholangiography.
方法:
国家外科数据库（美国外科医生外科质量改进计划）进行了审查所有选修腹腔镜胆绞痛从2005至2013。多元线性模型和Logistic回归模型被用来评估患者因素为手术时间大于60分钟的预测，调整为居民参与和胆道造影。

RESULTS:
A total of 24,099 LC met inclusion criteria. Regression analysis found procedure duration greater than 60 minutes was less likely for patients age greater than 40 and less than 30 (P < .001) and more likely for men (P < .05), body mass index (BMI) greater than 30 compared with BMI 18.5 to 24.9 (P < .05), abnormal liver function test (LFT) (P < .05), and higher ASA class (P < .05). Smoking, cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and abnormal white blood cell count were not significant predictors.
结果:
总共有24099个符合纳入标准。回归分析发现，手术时间超过60分钟是不太可能的患者年龄大于40小于30（P<0.001），男性（P<0.05），身体质量指数（BMI）大于30相比，体重指数18.5到24.9（P＜05），肝功能异常测试（LFT）（P<0.05），和较高的ASA分级（P <0.05）。吸烟、心血管疾病、慢性阻塞性肺疾病、糖尿病和异常白细胞计数均无显著性预测因子。

CONCLUSIONS:
Higher BMI, younger age, male gender, higher ASA, and abnormal LFTs are possible predictors of prolonged LC duration and can aid in operating room scheduling and utilization.
结论：
较高的BMI、年龄、男性、高ASA和肝功异常的持续时间可能延长，可以帮助预测LC手术室调度和利用。

KEYWORDS:
Laparoscopic cholecystectomy; NSQIP; Patient factors; Procedural difficulty; Procedure duration; Science of health care delivery
关键词：
腹腔镜胆囊切除术；NSQIP；病人因素；程序困难；手术时间；科学的健康保健服务

英文原文：
Impact of patient factors on operative duration during laparoscopic cholecystect.pdf (533.58 KB, 下载次数: 0, 售价: 99 香叶)

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腹腔镜胆囊切除术患者因素对手术时间的影响——来自国家外科质量改进项目数据库的评价