Laparoscopy improves failure to rescue compared to open surgery for emergent colectomy

Updates in Surgery
Richa PatelAziz M Merchant

Abstract

Emergent colectomy is performed in thousands of Americans each year and carries significant morbidity and mortality. Although laparoscopy has gained favor in the elective setting, its impact on failure to rescue has not been studied on a population level for emergent colectomy. The purpose of this study was to compare failure to rescue following laparoscopic versus open colectomy in the emergency setting. This was a retrospective cohort study of The American College of Surgeons National Surgical Quality Improvement Program. Adult patients undergoing emergent colectomy between 2005 and 2018 were selected and stratified into laparoscopic or open surgery groups using the Current Procedural Terminology codes. Propensity matching was performed based on the demographic and comorbidity data. Main outcomes were failure to rescue, mortality, overall morbidity, individual complications, and length of hospital stay. After matching, 11,484 cases were included for analysis, of which 3829 were laparoscopic. Overall, open colectomy conferred higher odds of failure to rescue (OR 1.71, 95% CI 1.42-2.08), mortality (OR 1.72, 95% CI 1.44-2.07), and morbidity (OR 1.73, 95% CI 1.60-1.88) vs laparoscopic cases. Open surgery significantly increased t...Continue Reading

References

May 15, 2002·Diseases of the Colon and Rectum·Anthony J SenagoreVictor W Fazio
Jul 18, 2006·The British Journal of Surgery·M M RezaJ Mayol
Sep 16, 2006·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Carolyn M Clancy
Nov 13, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K GashA R Dixon
Nov 13, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C M NewmanT D Cecil
Mar 14, 2014·JAMA Surgery·Bradley N ReamesAmir A Ghaferi
Jul 17, 2014·Journal of the American College of Surgeons·Kyle H SheetzAmir A Ghaferi
Dec 19, 2014·Annals of Surgery·Adil H HaiderDarrell J Gaskin
Mar 11, 2015·The Journal of Trauma and Acute Care Surgery·Joaquim M HavensAli Salim
May 11, 2015·International Journal of Surgery·Federico CoccoliniLuca Ansaloni
Aug 27, 2015·The Journal of Trauma and Acute Care Surgery·Gerald O OgolaShahid Shafi
Mar 19, 2016·Viszeralmedizin·Ferdinand Köckerling
Apr 5, 2016·Updates in Surgery·Ferdinando AgrestaGabriele Anania
Apr 28, 2016·JAMA Surgery·John W ScottJoaquim M Havens
Sep 2, 2016·World Journal of Emergency Surgery : WJES·Antonio BiondiLuigi Piazza
Sep 4, 2016·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Robert P SutcliffeUNKNOWN CholeS study group, West Midlands Research Collaborative
Jan 16, 2017·Surgery·Angela M Ingraham, Caprice C Greenberg
Feb 15, 2017·Circulation·Tamara M AtkinsonJoaquin E Cigarroa
Mar 23, 2017·Current Medical Research and Opinion·Kathryn FitchDeborah S Keller
May 17, 2018·Trauma Surgery & Acute Care Open·Preston R Miller
Oct 4, 2018·The Journal of Surgical Research·David MetcalfeJoaquim M Havens
Dec 12, 2018·The Journal of Surgical Research·Viraj PanditValentine Nfonsam
Jan 30, 2019·The Journal of Surgical Research·Catherine E SharokyDaniel N Holena
Oct 1, 2019·Current Opinion in Critical Care·Marc LafonteMatthew E Lissauer

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