Abstract
Limited data are available for the epidemiology and outcome of colorectal cancer in relation to the three main surgical treatment modalities (open, laparoscopic and robotic). Using the US National Inpatient Sample database from 2004 to 2012, we identified 1,265,684 hospitalized colorectal cancer patients. Over the 9 year period, there was a 13.5% decrease in the number of hospital admissions and a 43.5% decrease in in-hospital mortality. Comparing the trend of surgical modalities, there was a 35.4% decrease in open surgeries, a 3.5 fold increase in laparoscopic surgeries, and a 41.3 fold increase in robotic surgeries. Nonetheless, in 2012, open surgery still remained the preferred surgical treatment modality (65.4%), followed by laparoscopic (31.2%) and robotic surgeries (3.4%). Laparoscopic and robotic surgeries were associated with lower in-hospital mortality, fewer complications, and shorter length of stays, which might be explained by the elective nature of surgery and earlier tumor grades. After excluding patients with advanced tumor grades, laparoscopic surgery was still associated with better outcomes and lower costs than open surgery. On the contrary, robotic surgery was associated with the highest costs, without substa...Continue Reading
References
Jan 1, 1994·Cancer Causes & Control : CCC·R M BostickA R Folsom
Nov 30, 1996·Lancet·O KronborgO Søndergaard
Nov 30, 1996·Lancet·J D HardcastleC M Mangham
Aug 1, 1997·Journal of Clinical Epidemiology·A B NattingerM M Schapira
Jan 5, 2002·World Journal of Surgery·G B CadièreJ Bruyns
Jan 31, 2003·Gastroenterology·Sidney WinawerUNKNOWN Gastrointestinal Consortium Panel
Sep 28, 2004·The British Journal of Surgery·N S AbrahamM J Solomon
Feb 2, 2006·Annals of Surgical Oncology·Omer AzizAlexander G Heriot
Feb 24, 2006·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Helen I MeissnerSally W Vernon
Jan 17, 2007·Medical Care·Kathryn A PhillipsStephanie L Van Bebber
Sep 12, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Scott R SteeleMatthew J Martin
Apr 29, 2008·Annals of Surgery·Conor P DelaneyMichael Broder
Dec 26, 2008·Methods in Molecular Biology·Dana Sloane
May 20, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Thierry AndréAimery de Gramont
May 28, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Scott KopetzRobert R McWilliams
Dec 10, 2009·Cancer·Brenda K EdwardsLynn A G Ries
Dec 17, 2009·Diseases of the Colon and Rectum·Nancy N BaxterBeth A Virnig
May 18, 2011·Archives of Surgery·Molly M ConeKim C Lu
Aug 30, 2011·The Journal of Surgical Research·Deepak K OzhathilShimul A Shah
Jan 6, 2012·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Rebecca L SiegelAhmedin Jemal
Feb 9, 2012·Journal of Cancer·Hiroshi OhtaniKosei Hirakawa
Feb 10, 2012·The Permanente Journal·David Moiel, John Thompson
Apr 18, 2012·Archives of Surgery·Celeste Y KangMichael J Stamos
Aug 8, 2012·Annals of Surgery·Anton SimorovDmitry Oleynikov
Apr 9, 2013·World Journal of Surgery·Wissam J HalabiAlessio Pigazzi
Apr 20, 2013·Annals of Surgery·Ovunc BardakciogluJiajing Chen
Sep 3, 2013·Surgical Endoscopy·Deborah S KellerConor P Delaney
Sep 5, 2013·Surgical Endoscopy·Monirah AlnasserJonathan E Efron
Dec 20, 2013·JAMA Surgery·Yen-Yi JuoNita Ahuja
Sep 26, 2014·World Journal of Gastroenterology : WJG·Jeroen L A van VugtJan H M B Stoot
Dec 10, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Becky B TrinhEmad Kandil
Dec 21, 2014·Journal of the National Cancer Institute·Heather YeoMartin R Weiser
Mar 15, 2015·Medical Care·Nicolas R ThompsonSandra D Griffith
Apr 16, 2015·International Surgery·Deepa TaggarsheBryan N Butler
Nov 7, 2015·Diseases of the Colon and Rectum·Zhobin MoghadamyeghanehMichael J Stamos
Citations
Oct 7, 2017·Medicine·Yumei ZhangJin Li
Jan 25, 2018·Acta Oncologica·Kristiina ManderbackaEero Pukkala
May 8, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L Z HydeR P Kiran
May 29, 2018·Minerva chirurgica·Tarik Sammour, George J Chang
Nov 9, 2019·Cancers·Loh Teng-Hern TanBey-Hing Goh
Feb 19, 2020·Cell Biology International·Yi-Lin ChenJing-Shan Huang
Feb 8, 2020·Diseases of the Colon and Rectum·Brian D LoSandy H Fang
Aug 20, 2020·Surgical Endoscopy·Brian D LoChady Atallah
May 7, 2019·World Journal of Gastrointestinal Surgery·Varut Lohsiriwat
Jan 25, 2020·Surgery Today·Makoto KosugeKatsuhiko Yanaga
May 16, 2019·Surgical Endoscopy·David WeiDeborah Nagle
Aug 18, 2020·BioMed Research International·Ko-Chao LeeWan-Hsiang Hu
Aug 27, 2017·Surgical Endoscopy·Yen-Yi JuoErik Dutson
Oct 13, 2018·Scientific Reports·Tarik GhadbanDaniel R Perez
Oct 22, 2019·Frontiers in Oncology·Sungwoo CheiBoo-Yong Lee
Oct 17, 2018·Techniques in Coloproctology·D S KellerJ S Mizell
Mar 14, 2019·Surgical Endoscopy·Benjamin W P RossiSebastian Smolarek
Feb 17, 2021·Journal of Robotic Surgery·D El-HamamsyD Tincello
Feb 28, 2021·Langenbeck's Archives of Surgery·Muhammad TayyabA Parvaiz
Feb 18, 2021·Critical Care Nursing Quarterly·Anita McAlee, Jacqueline Allred
Feb 27, 2021·International Journal of Clinical Oncology·Zhang JuanHe Shuixiang
Sep 22, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Farah El-SharkawyLana Bijelic
Mar 21, 2021·Journal of Robotic Surgery·Lorenzo G LucianiGianni Malossini
May 9, 2021·International Journal of Colorectal Disease·Ryan SilvaValentine Nfonsam
Sep 9, 2021·World Journal of Surgery·George Q ZhangBashar Safar