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Updated: Mar 18, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Association of patient characteristics with operative time greater than 2 hours for laparoscopic hysterectomy
James Garda1, Michelle Harris2, Megan Lopez-Lin1
1Baylor College of Medicine, Temple, Texas, USA.
Introduction:
This study aimed to identify patient and clinical characteristics associated with an operative time of >2 hours for patients undergoing laparoscopic hysterectomy for benign indications.
Methods:
A retrospective cohort study design was employed to examine which patient and clinical characteristics were associated with longer operative times. A bivariate analysis was conducted comparing patients who underwent laparoscopic hysterectomy with operative times of ≤2 hours versus those with times >2 hours, followed by multivariate logistic regression to identify characteristics independently associated with an operative time of >2 hours.
Results:
A total of 82 and 37 patients who underwent laparoscopic hysterectomy had operative times of ≤2 or >2 hours, respectively. Multivariate logistic regression revealed that a one-unit increase in American Society of Anesthesiologists (ASA) physical status classification (adjusted odds ratio [aOR] 2.95; 95% confidence interval [CI] 0.46-5.65; P = 0.02) and history of hypertension (aOR 2.98; 95% CI 1.10-8.02; P = 0.03) were independently associated with an operative time >120 minutes.
Conclusion:
ASA physical status classification and history of hypertension were independently associated with increased operative time for laparoscopic hysterectomy.
