+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Is nighttime laparoscopic general surgery under general anesthesia safe?



Is nighttime laparoscopic general surgery under general anesthesia safe?



Ulusal Travma Ve Acil Cerrahi Dergisi 24(1): 20-24



Fatigue and sleep deprivation can affect rational decision-making and motor skills, which can decrease medical performance and quality of patient care. The aim of the present study was to investigate the association between times of the day when laparoscopic general surgery under general anesthesia was performed and their adverse outcomes. All laparoscopic cholecystectomies and appendectomies performed at the emergency surgery department of a tertiary university hospital from 01. 01. 2016 to 12. 31. 2016 were included. Operation times were divided into three groups: 08.01-17.00 (G1: daytime), 17.01-23.00 (G2: early after-hours), and 23.01-08.00 (G3: nighttime). The files of the included patients were evaluated for intraoperative and postoperative surgery and anesthesia-related complications. We used multiple regression analyses of variance with the occurrence of intraoperative complications as a dependent variable and comorbidities, age, gender, body mass index (BMI), ASA score, and operation time group as independent variables. This revealed that nighttime operation (p<0.001; OR, 6.7; CI, 2.6-16.9) and older age (p=0.004; OR, 1.04; CI, 1.01-1.08) were the risk factor for intraoperative complications. The same analysis was performed for determining a risk factor for postoperative complications, and none of the dependent variables were found to be associated with the occurrence of postoperative complications. Nighttime surgery and older patient age increased the risk of intraoperative complications without serious morbidity or mortality, but no association was observed between the independent variables and the occurrence of postoperative complications.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 065262816

Download citation: RISBibTeXText

PMID: 29350363


Related references

Tu1376 Safety Comparisons of General Anesthesia With Monitored Care Anesthesia for Advanced Endoscopic Procedures: Is General Anesthesia Safe?. Gastrointestinal Endoscopy 77(5): Ab518-Ab519, 2013

Effects of epidural-and-general anesthesia combined versus general anesthesia alone on femoral venous flow during laparoscopic cholecystectomy. Journal of Laparoendoscopic and Advanced Surgical Techniques. Part a 20(3): 219-223, 2010

Randomized controlled comparison of combined general and epidural anesthesia versus general anesthesia on diaphragmatic function after laparoscopic prostatectomy. Minerva Anestesiologica 79(12): 1371-1380, 2013

Cervical epidural anesthesia: a safe alternative to general anesthesia for patients undergoing cancer breast surgery. World Journal of Surgery 30(11): 2043-7; Discussion 2048-9, 2006

Effects of epidural-and-general anesthesia combined versus general anesthesia during laparoscopic adrenalectomy. Surgical Laparoscopy Endoscopy and Percutaneous Techniques 21(5): 372-379, 2011

Pharmacoeconomics of spinal anesthesia vs general anesthesia for outpatient laparoscopic surgery. Canadian Journal of Anaesthesia 46(5 Part 2): A40, 1999

Usefulness of epidural anesthesia in gynecologic laparoscopic surgery for infertility in comparison to general anesthesia. Surgical Endoscopy 18(5): 847-851, 2004

Advanced laparoscopic bariatric surgery Is safe in general surgery training. American Journal of Surgery 213(5): 963-966, 2017

Combined spinal and general anesthesia is better than general anesthesia alone for laparoscopic hysterectomy. Saudi Journal of Anaesthesia 8(4): 498-503, 2014

Combined general and epidural anesthesia versus general anesthesia for major abdominal surgery: Postanesthesia recovery characteristics. Regional Anesthesia 22(5): 435-441, 1997

Endocrine-metabolic response to abdominal aortic surgery: a randomized trial of general anesthesia versus general plus epidural anesthesia. World Journal of Surgery 17(5): 601-6; Discussion 606-7, 1993

Comparison of BISTM during General Anesthesia and Combined General/Epidural Anesthesia in Children Undergoing Urologic Surgery. Anesthesiology Abstracts of Scientific Papers Annual Meeting ( ): Abstract No A-1279, 2002

No better vigilance after general anesthesia with propofol in colonic surgery. A comparison of three procedures for general anesthesia (propofol, halothane and midazolam/fentanyl) in combination with catheter epidural anesthesia. Der Anaesthesist 43(3): 159-167, 1994

Epidural plus general anesthesia vs general anesthesia alone for elective aortic surgery: effects on gastric electrical activity and serum gastrin secretion. Minerva Anestesiologica 75(3): 109-115, 2009

Comparison of Interscalene Block/General Anesthesia Versus General Anesthesia Intraoperative, Postoperative and Neurologic Outcomes after Ambulatory Shoulder Surgery. Anesthesiology Abstracts of Scientific Papers Annual Meeting ( ): Abstract No A-13, 2003