Outcomes of laparoscopic and open colectomy at academic centers

American Journal of Surgery
J Esteban VarelaThomas Anthony

Abstract

Laparoscopic techniques have emerged as a suitable approach for colon resection. This study determined and compared the outcomes of patients undergoing laparoscopic or open colectomy at United States academic centers. Using ICD-9-CM codes, we obtained data from the University HealthSystem Consortium database for 50,443 patients who underwent open (n = 47,090; 94%) or laparoscopic (n = 3,353; 6%) colectomy during a 5-year period (2002 to 2006). Outcomes studied included length of stay (LOS), costs, in-hospital morbidity and risk-adjusted mortality rates. Mean LOS (open = 11 days and laparoscopic = 7 days) was significantly shorter and mean costs (open = $23,000 and laparoscopic = $17,000) significantly fewer with the laparoscopic approach. The overall in-hospital morbidity rate was significantly lower with laparoscopic colectomy (open = 33% and laparoscopic = 24%). The risk-adjusted mortality ratio was comparable between groups (open = .9 and laparoscopic = .7). Despite the major biases inherent in this retrospective review of the University Health System Consortium, which favors the use of laparoscopic colectomy by United States academic surgeons, laparoscopic colectomy offers the potential of significantly shorter LOS, fewer c...Continue Reading

References

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Mar 21, 2007·Archives of Surgery·H Jacob BonjerUNKNOWN Transatlantic Laparoscopically Assisted vs Open Colectomy Trials Study Group

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Citations

Sep 18, 2010·Surgical Endoscopy·J Esteban Varela, Ninh T Nguyen
Jul 8, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kazuaki KuwabaraKenji Fujimori
Sep 18, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ashwin N AnanthakrishnanDavid G Binion
Feb 2, 2010·Clinics in Colon and Rectal Surgery·David P Parsons
May 14, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B KaltoftJ Rosenberg
Oct 2, 2015·Digestive Diseases and Sciences·Mahesh GajendranDavid G Binion
Mar 9, 2012·Journal of the American College of Surgeons·Adrian T BilleterSusan Galandiuk
Jan 28, 2010·Current Problems in Surgery·Robert B LimDaniel B Jones
Jun 9, 2017·Diseases of the Colon and Rectum·Bradley J ChampagneHelen M MacRae
Sep 28, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Heather L YeoLisa M Kern
Feb 9, 2017·Annals of Surgery·Lindsay E KuoRachel R Kelz
May 30, 2019·Surgical Endoscopy·Margherita NotarnicolaRiccardo Memeo

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