Reduced perioperative death following laparoscopic colorectal resection: results of an international observational study

Surgical Endoscopy
A MunasingheO Faiz

Abstract

Laparoscopic approaches to colorectal surgery are known to accelerate recovery but the effect on postoperative mortality is uncertain. The purpose of this study was to determine whether differences exist in postoperative mortality between patients undergoing laparoscopic and open colorectal surgery in a group of international healthcare institutions. Administrative data from 30 worldwide institutions were searched for patients who underwent elective colorectal surgical resection between January 2007 and December 2011. The primary outcome measure was 30-day-in-hospital mortality rate. Secondary outcome measures were 30-day readmission rate, length of stay, and 30-day reoperation rate. There were 30,369 (20,641 colonic and 9728 rectal) resections recorded over the 5 years. Eight thousand eighty-six were laparoscopic (26.6%) and 22,283 (73.4%) were open. Following propensity-score matching of the laparoscopic and open cohorts, mortality was 0.5% following laparoscopic colectomy and 1.2% after conventional surgery (P < 0.001). After adjusting for differences in preoperative risk factors including gender, age, comorbidity, type of surgery and diagnosis, by matching on propensity score, laparoscopic surgery was a strong determinant o...Continue Reading

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Apr 20, 2016·ANZ Journal of Surgery·Patrick Ely TelokenUNKNOWN BCCA Operations Committee
Apr 30, 2015·Journal of the Egyptian National Cancer Institute·Anwar Tawfik AminSalah Mabrouk Khallaf
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Jun 1, 2021·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Lauren WeaverJorge Ortiz

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