Analysing Factors Prolonging Hospital Stay After Excision of Choledochal Cyst—A Pathway Towards Enhanced Recovery After Surgery
- 10.10.2023
- Original Scientific Report
Erschienen in:
- Verfasst von
- Marco King In Ma
- Patrick Ho Yu Chung
- Fanny Yeung
- Kenneth Kak Yuen Wong
- Erschienen in
- World Journal of Surgery | Ausgabe 12/2023
Abstract
Background
To evaluate factors affecting length of stay (LOS) after choledochal cyst resection in paediatric patients.
Methods
This was a retrospective study on patients operated between 2004 and 2021. Associations between clinical factors and LOS were evaluated by bivariate analysis, multiple regression, and equivalence test.
Results
Sixty-two patients were included. Twenty-four underwent hepaticoduodenostomy as biliary reconstruction. Five suffered from major complications. The median (25th–75th percentile) operation time was 279 (182–378) min. Median LOS, time to enteral feeding, and time to abdominal drain removal were 8(6–10), 2(1–3), and 5(4–7) days, respectively. Seven factors were found significantly associated with a shorter LOS in bivariate analysis and were included in multiple regression. It revealed that early abdominal drain removal (p < 0.001), early enteral feeding (p = 0.042), and the absence of major complications (p < 0.001) were significantly associated with shorter LOS. Equivalence test suggested that age and preoperative cholangitis had no practical effect on LOS.
Conclusions
Early enteral feeding, early drain removal, and avoidance of major complications are associated with a shorter LOS.
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- Titel
- Analysing Factors Prolonging Hospital Stay After Excision of Choledochal Cyst—A Pathway Towards Enhanced Recovery After Surgery
- Verfasst von
-
Marco King In Ma
Patrick Ho Yu Chung
Fanny Yeung
Kenneth Kak Yuen Wong
- Publikationsdatum
- 10.10.2023
- Verlag
- Springer International Publishing
- Erschienen in
-
World Journal of Surgery / Ausgabe 12/2023
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323 - DOI
- https://doi.org/10.1007/s00268-023-07206-y
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