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75, 95% CI 0.65-0.84) and was well calibrated in both datasets (all P 0.05). Decision curve analysis demonstrated that the nomogram was clinically useful. This study proposed an effective nomogram with potentially application in facilitating the individualized prediction for extended operation time. Individualized prediction of prolonged operation time can be conveniently facilitating an adequate treatment plan management and postoperative prevention. Individualized prediction of prolonged operation time can be conveniently facilitati