Research Article

Is Nighttime Really Not the Right Time for a Laparoscopic Cholecystectomy?

Table 2

Patient clinicopathologic and operative characteristics; comparing out-of-hours procedures to those during business hours.

VariableNumber ()
Out-of-hours (n=145)During Business Hours (n=1408)p-value

Patient characteristics

Gender (female)85 (58.6)903 (64.1)0.19
Age (median [range])60 55 0.012
Previous abdominal surgery
 None111 (76.5)1064 (75.6)0.22
 Laparoscopic15 (10.3)204 (14.5)
 Laparotomy19 (13.1)138 (9.8)

Preoperative details

Indication for surgery
 Bile stone colics23 (15.9)1032 (73.3)<0.001
 Acute cholecystitis111 (76.6)84 (6.0)
 Other11 (7.6)315 (22.4)
Timing of surgery
 Elective0 (0)1342 (95.3)<0.001
 Emergency145 (100)67 (4.7)

Perioperative variables

Usage of antibiotics
 No36 (24.8)935 (66.4)<0.001
 Yes–prior to operation101 (69.7)299 (21.2)
 Yes–after bile spill8 (5.5)173 (12.3)
Surgeon
 Surgical resident33 (22.8)938 (66.6)<0.001
 Surgical staff112 (77.2)469 (33.3)
Critical View of Safety mentioned125 (86.2)1330 (94.5)0.020
Bile spill62 (42.8)472 (33.5)0.027
Conversion to laparotomy14 (9.7)28 (2.0)<0.001
Operative Time (median [range])70 54 0.033
Estimated Blood Loss (median [range])30 10 <0.001