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Analysis of Influencing Factors of Hospitalization Time of Patients After Laparoscopic Extraperitoneal Radical Prostatectomy

Received: 21 June 2022    Accepted: 6 July 2022    Published: 12 July 2022
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Abstract

Backgrounds: Prostate cancer is the second highest cause of malignant tumors in men worldwide, extraperitoneal laparoscopic radical prostatectomy (ELRP) was widely used in the treatment of localized prostate cancer. This study explored the factors affecting the length of stay in patients after ELRP. Methods: We performed a retrospective analysis of the clinical data of 209 patients undergoing ELRP between January 2019 and December 2020. The multiple linear regression analysis model was used to analyze the factors that influenced hospital stay in patients after ELRP. Results: The median postoperative hospital stay was 9 days. Univariate regression analysis found that postoperative complications, the presence or absence of blood product transfusion, and postoperative indwelling catheter time were correlated to a postoperative hospital stay (P < 0.05). After adjusting for other variables, multivariate regression analysis found that a history of drinking, preoperative PSA value of 10-20 μg/L, postoperative complications of anastomotic leakage, and postoperative indwelling catheter time were independent risk factors related to delayed discharge (P < 0.05 ~ P < 0.0001). Conclusion: The length of hospital stay after ELRP was affected by many factors. Low-level preoperative PSA values, avoiding complications of anastomotic leakage, and timely removal of catheters have the potential to shorten the hospital stay after ELRP. The high-risk groups should regularly check the serum PSA value to optimize the utilization of medical resources, and physicians should strive to improve intraoperative surgical techniques, reduce postoperative complications, and remove catheters in time.

Published in Journal of Cancer Treatment and Research (Volume 10, Issue 3)
DOI 10.11648/j.jctr.20221003.11
Page(s) 24-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Laparoscopic Extraperitoneal, Radical Prostatectomy, Length of Hospital Stay

References
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Cite This Article
  • APA Style

    Xixi Hu, Dongdong Yu, Haiyan Li, Changyun Chen, Hai-Hong Jiang. (2022). Analysis of Influencing Factors of Hospitalization Time of Patients After Laparoscopic Extraperitoneal Radical Prostatectomy. Journal of Cancer Treatment and Research, 10(3), 24-30. https://doi.org/10.11648/j.jctr.20221003.11

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    ACS Style

    Xixi Hu; Dongdong Yu; Haiyan Li; Changyun Chen; Hai-Hong Jiang. Analysis of Influencing Factors of Hospitalization Time of Patients After Laparoscopic Extraperitoneal Radical Prostatectomy. J. Cancer Treat. Res. 2022, 10(3), 24-30. doi: 10.11648/j.jctr.20221003.11

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    AMA Style

    Xixi Hu, Dongdong Yu, Haiyan Li, Changyun Chen, Hai-Hong Jiang. Analysis of Influencing Factors of Hospitalization Time of Patients After Laparoscopic Extraperitoneal Radical Prostatectomy. J Cancer Treat Res. 2022;10(3):24-30. doi: 10.11648/j.jctr.20221003.11

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  • @article{10.11648/j.jctr.20221003.11,
      author = {Xixi Hu and Dongdong Yu and Haiyan Li and Changyun Chen and Hai-Hong Jiang},
      title = {Analysis of Influencing Factors of Hospitalization Time of Patients After Laparoscopic Extraperitoneal Radical Prostatectomy},
      journal = {Journal of Cancer Treatment and Research},
      volume = {10},
      number = {3},
      pages = {24-30},
      doi = {10.11648/j.jctr.20221003.11},
      url = {https://doi.org/10.11648/j.jctr.20221003.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20221003.11},
      abstract = {Backgrounds: Prostate cancer is the second highest cause of malignant tumors in men worldwide, extraperitoneal laparoscopic radical prostatectomy (ELRP) was widely used in the treatment of localized prostate cancer. This study explored the factors affecting the length of stay in patients after ELRP. Methods: We performed a retrospective analysis of the clinical data of 209 patients undergoing ELRP between January 2019 and December 2020. The multiple linear regression analysis model was used to analyze the factors that influenced hospital stay in patients after ELRP. Results: The median postoperative hospital stay was 9 days. Univariate regression analysis found that postoperative complications, the presence or absence of blood product transfusion, and postoperative indwelling catheter time were correlated to a postoperative hospital stay (P P P Conclusion: The length of hospital stay after ELRP was affected by many factors. Low-level preoperative PSA values, avoiding complications of anastomotic leakage, and timely removal of catheters have the potential to shorten the hospital stay after ELRP. The high-risk groups should regularly check the serum PSA value to optimize the utilization of medical resources, and physicians should strive to improve intraoperative surgical techniques, reduce postoperative complications, and remove catheters in time.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Analysis of Influencing Factors of Hospitalization Time of Patients After Laparoscopic Extraperitoneal Radical Prostatectomy
    AU  - Xixi Hu
    AU  - Dongdong Yu
    AU  - Haiyan Li
    AU  - Changyun Chen
    AU  - Hai-Hong Jiang
    Y1  - 2022/07/12
    PY  - 2022
    N1  - https://doi.org/10.11648/j.jctr.20221003.11
    DO  - 10.11648/j.jctr.20221003.11
    T2  - Journal of Cancer Treatment and Research
    JF  - Journal of Cancer Treatment and Research
    JO  - Journal of Cancer Treatment and Research
    SP  - 24
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2376-7790
    UR  - https://doi.org/10.11648/j.jctr.20221003.11
    AB  - Backgrounds: Prostate cancer is the second highest cause of malignant tumors in men worldwide, extraperitoneal laparoscopic radical prostatectomy (ELRP) was widely used in the treatment of localized prostate cancer. This study explored the factors affecting the length of stay in patients after ELRP. Methods: We performed a retrospective analysis of the clinical data of 209 patients undergoing ELRP between January 2019 and December 2020. The multiple linear regression analysis model was used to analyze the factors that influenced hospital stay in patients after ELRP. Results: The median postoperative hospital stay was 9 days. Univariate regression analysis found that postoperative complications, the presence or absence of blood product transfusion, and postoperative indwelling catheter time were correlated to a postoperative hospital stay (P P P Conclusion: The length of hospital stay after ELRP was affected by many factors. Low-level preoperative PSA values, avoiding complications of anastomotic leakage, and timely removal of catheters have the potential to shorten the hospital stay after ELRP. The high-risk groups should regularly check the serum PSA value to optimize the utilization of medical resources, and physicians should strive to improve intraoperative surgical techniques, reduce postoperative complications, and remove catheters in time.
    VL  - 10
    IS  - 3
    ER  - 

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Author Information
  • Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

  • Department of Urology, Huzhou Cerntral Hospital, Huzhou, China

  • Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

  • Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

  • Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

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