Predictors of Prolonged Operative Time for Robotic-Assisted Laparoscopic Myomectomy

2018 ◽  
Vol 25 (7) ◽  
pp. S58-S59
Author(s):  
P. Movilla ◽  
M. Orlando ◽  
J. Wang ◽  
J. Opoku-Anane
Keyword(s):  
Operative Time ◽  
Laparoscopic Myomectomy ◽  
Robotic Assisted ◽  
Prolonged Operative Time

Independent predictors of prolonged operative time during robotic-assisted radical prostatectomy

2015 ◽  
Vol 9 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Philippe D. Violette ◽  
David Mikhail ◽  
Gregory R. Pond ◽  
Stephen E. Pautler
Keyword(s):  
Radical Prostatectomy ◽  
Operative Time ◽  
Robotic Assisted ◽  
Robotic Assisted Radical Prostatectomy ◽  
Prolonged Operative Time

Does prolonged operative time impact postoperative morbidity in patients undergoing robotic-assisted rectal resection for cancer?

2018 ◽  
Vol 32 (8) ◽  
pp. 3659-3666 ◽  
Author(s):  
E. Duchalais ◽  
N. Machairas ◽  
S. R. Kelley ◽  
R. G. Landmann ◽  
A. Merchea ◽  
...  
Keyword(s):  
Postoperative Morbidity ◽  
Operative Time ◽  
Rectal Resection ◽  
Robotic Assisted ◽  
Prolonged Operative Time

657 PREDICTORS OF PROLONGED OPERATIVE TIME DURING ROBOTIC-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Matvey Tsivian ◽  
Daniel Yong ◽  
Michael Ferrandino ◽  
Dorit Zilberman ◽  
Vladimir Mouraviev ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Operative Time ◽  
Laparoscopic Radical Prostatectomy ◽  
Robotic Assisted ◽  
Prolonged Operative Time

Prolonged Operative Time Associated with Increased Healthcare Utilization after Open Reduction and Internal Fixation of Intra-Articular and Extra-Articular Distal Radial Fractures: An Analysis of 17,482 Cases

2021 ◽  
Author(s):  
Joseph P. Scollan ◽  
Erin Ohliger ◽  
Ahmed K. Emara ◽  
Daniel Grits ◽  
Kara McConaghy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Open Reduction ◽  
Operative Time ◽  
Adverse Outcomes ◽  
Care Utilization ◽  
Wound Complications ◽  
Spline Regression ◽  
Distal Radial Fractures ◽  
Prolonged Operative Time

Abstract Background The current literature does not contain a quantitative description of the associations between operative time and adverse outcomes after open reduction and internal fixation (ORIF) of distal radial fractures (DRF). Questions/Purpose We aimed to quantify associations between DRF ORIF operative time and 1) 30-day postoperative health care utilization and 2) the incidence of local wound complications. Methods The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for DRF ORIF cases (January 2012–December 2018). A total of 17,482 cases were identified. Primary outcomes included health care utilization (length of stay [LOS], discharge dispositions, 30-day readmissions, and reoperations) per operative-time category. Secondary outcome was incidence of wound complications per operative-time category. Multivariate regression was conducted to determine operative-time categories associated with increased risk while adjusting for demographics, comorbidities, and fracture type. Spline regression models were constructed to visualize associations. Results The 121 to 140-minute category was associated with significantly higher risk of a LOS > 2 days (odds ration [OR]: 1.64; 95% confidence interval [CI]:1.1–2.45; p = 0.014) and nonhome discharge (OR: 1.72; 95% CI:1.09–2.72; p = 0.02) versus 41 to 60-minute category. The ≥ 180-minute category exhibited highest odds of LOS > 2 days (OR: 2.08; 95%CI: 1.33–3.26; p = 0.001), nonhome discharge disposition (OR: 1.87; 95% CI: 1.05–3.33; p = 0.035), and 30-day reoperation occurrence (OR: 3.52; 95% CI: 1.59–7.79; p = 0.002). There was no association between operative time and 30-day readmission (p > 0.05 each). Higher odds of any-wound complication was first detected at 81 to 100-minute category (OR: 3.02; 95% CI: 1.08–8.4; p = 0.035) and peaked ≥ 181 minutes (OR: 9.62; 95% CI: 2.57–36.0; p = 0.001). Spline regression demonstrated no increase in risk of adverse outcomes if operative times were 50 minutes or less. Conclusion Our findings demonstrate that prolonged operative time is correlated with increased odds of health care utilization and wound complications after DRF ORIF. Operative times greater than 60 minutes seem to carry higher odds of postoperative complications.

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