Abstract
Amaç: Bu çalışmamızda laparoskopik nefrektomi yapılan hastalarda yatış süresini etkileyen faktörleri araştırmayı amaçladık. Materyal ve metot: Ocak 2013-Aralık 2021 tarihleri arasında kliniğimizde laparoskopik nefrektomi yapılan hastaların verileri retrospektif olarak incelendi. Hastaların demografik verileri, preoperatif, peroperatif ve postoperatif özellikleri kaydedildi. Çalışmaya dahil edilen hastalar yatış süresi ≤4 gün ve >4 gün olarak iki gruba ayrıldı. Gruplar arasında demografik özellikler, operasyon verileri, peroperatif ve postoperatif komplikasyon durumu univariate analiz ile karşılaştırılarak yatış süresinin uzaması açısından olası risk faktörleri değerlendirildi. Bulgular: Çalışmaya kliniğimizde laparoskopik nefrektomi yapılan 330 hasta dahil edildi. Hastaların 130’u (%39.3) kadın, 200’ü (%60.7) erkek ve ortalama yaşı 50.8±19.7 idi. Hastaların 220’sinin (%66.7) ≤4 gün, 110’unun (%33.3) ise 4 günden uzun yattığı görüldü. Operasyon süresinin uzun olduğu hastalarda yatış süresi de buna paralel olarak uzundu (p<0.001). Peroperatif ve postoperatif komplikasyon gelişen hastaların yatışlarının komplikasyon gelişmeyenlere göre daha uzun sürdüğü saptandı (sırasıyla: p=0.017, p=0.002). Sonuç: Çalışmamızda, operasyon süresi uzun olan, peroperatif ve postoperatif komplikasyonlar gelişen hastalarda yatış süresi belirgin uzundu. Operasyon sürelerinin ve komplikasyon oranlarının olabildiğince düşürülmesi yatış süresini azaltmada faydalı olabilir.
English title and abstract
Factors affecting length of stay in laparoscopic nephrectomy: Single Center 330 Case Experience
Authors: Kadir Karkin; Ediz Vuruşkan
Citation: Karkin K, Vuruşkan E. Factors affecting length of stay in laparoscopic nephrectomy: Single Center 330 Case Experience. J Cukurova Anesth Surg. 2022;5(2):229–234. doi: 10.36516/jocass.1129847
Aim: In this study, we aimed to investigate the factors affecting the length of stay in patients who underwent laparoscopic nephrectomy.
Methods: The data of 330 patients who underwent laparoscopic nephrectomy in our clinic between January 2013 and December 2021 were analyzed retrospectively. Demographic data, preoperative, peroperative and postoperative characteristics of the patients were recorded. The patients included in the study were divided into two groups as hospital stay ≤4 days (group A) and >4 days (group B). Potential risk factors for prolonged hospitalization were evaluated by comparing demographic characteristics, operation data, and perioperative and postoperative complications between the groups.
Results: There were 330 patients who underwent laparoscopic nephrectomy in our study. The mean age of the patients in group A was 49.1 ± 11.45 years, while it was 50.61 ± 11.60 years in group B. Body weight (kg), BMI (Body mass index) (kg/m2) and comorbidities were statistically significantly higher in group B (p=0.003, p=0.016, p<0.001, respectively). While the operation time was 125 minutes in group A, it was 155 minutes in group B, and this difference was statistically significant (p<0.001). It was observed that 220 (66.7%) of the patients were hospitalized for ≤4 days and 110 (33.3%) were hospitalized longer than 4 days. While the duration of hospitalization was found to be longer in patients with a long operation time (p<0.001), the hospitalization period was found to be longer in patients who developed perioperative and postoperative complications (respectively: p=0.017, p=0.002).
Conclusions: In our study, the length of hospital stay was significantly longer in patients who had a long operation time and developed perioperative and postoperative complications. Reducing operation times and complication rates as much as possible may be beneficial in reducing the length of stay.
Keywords: Laparoscopic surgery, nephrectomy, complication, length of stay
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