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Factors Affecting Length of Hospital Stay After Laparoscopic Adrenalectomy
Göksever Akpınar1, Korhan Tuncer2, Safa Vatansever3, Mehmet Üstün11University of Health Sciences Turkey, İzmir Tepecik Education and Research Hospital, Clinic of General Surgery, İzmir, Turkey2Bakırçay University, Çiğli Training and Research Hospital, Department of General Surgery, İzmir, Turkey
3İzmir University of Economics, Medical Point Hospital, Department of General Surgery, İzmir, Turkey
Objective: The aim of this study is to evaluate the factors affecting the length of hospital stay after surgery in patients who underwent laparoscopic adrenalectomy.
Methods: Patients who underwent laparoscopic adrenalectomy between 2012 and 2022 were retrospectively analyzed. The 75th percentile of the study population was set as the limit for the length of stay. Staying longer than this time was defined as prolonged hospital stay. Factors affecting prolonged hospital stay were analyzed with univariate and multiple logistic regression analyses. Variables with a p-value of <0.10 in univariate logistic regression analysis were included in the multiple regression model.
Results: A total of 86 patients were included in the study. Seventy-one (83%) of the patients were women. The median age was 54 (interquartile range, 45-61) years. The median hospital stay was 2 (interquartile range, 2-2) days. According to the 75th percentile of the population, the duration of stay longer than 2 days was determined as prolonged hospital stay. Prolonged hospital stay was detected in 14 (16%) patients. As a result of multiple regression analysis, operation time (odds ratio: 1.03; p-value: 0.017), conversion to open surgery (odds ratio: 4.79; p-value: 0.045), and male gender (odds ratio: 5.61; p-value: 0.022), was associated with prolonged hospital stay.
Conclusion: Laparoscopic adrenalectomy is a safe technique in the treatment of various adrenal pathologies. Operation time and conversion to open surgery were associated with prolonged hospital stay; however, studies with a high level of evidence are needed.
Manuscript Language: English
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