Do the advantages of a minimally invasive approach remain in complex colorectal procedures? A nationwide comparison

Diseases of the Colon and Rectum
Andrew T SchlusselScott R Steele

Abstract

Since the introduction of laparoscopic colectomy, experience and technology continue to improve. Although accepted for many colorectal conditions, its use and outcomes in complex procedures are less understood. The purpose of this work was to compare the perioperative outcomes of laparoscopic transverse colectomy and total abdominal colectomy (study group) with an open approach (comparative group) and the more established laparoscopic right, left, and sigmoid colectomies (control group). This was a retrospective review of the Nationwide Inpatient Sample (2008-2011) of all patients undergoing elective right, left, sigmoid, total, or transverse colectomy as identified by International Classification of Diseases, Ninth Revision, Clinical Modification procedure codes. Risk-adjusted 30-day outcomes were assessed using regression modeling accounting for patient characteristics, comorbidities, and surgical procedures. The study included a national sample from a population database. There were 45,771 admissions: 2946 in the study group, 36,949 in the control group, and 5876 in the open comparative group. Mortality was the primary outcome. Secondary outcomes included in-hospital complications, length of stay, and hospital charges. The p...Continue Reading

References

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Citations

Sep 13, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Andrew T SchlusselScott R Steele
Oct 26, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew T SchlusselScott R Steele
Jun 3, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A HotourasS D Wexner
Apr 7, 2018·International Journal of Colorectal Disease·Gabriela Batista RodríguezEduard M Targarona
Jul 6, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Renee HuangSyed Husain

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