Minimally invasive surgery for colorectal cancer remains underutilized in Germany despite its nationwide application over the last decade
| Autor: | Tarik Ghadban, Daniel Perez, Matthias Reeh, Jakob R. Izbicki, Maximilian Bockhorn, Asmus Heumann, Rainer Grotelueschen, Kai Bachmann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Colorectal cancer medicine.medical_treatment MEDLINE lcsh:Medicine Disease Article 03 medical and health sciences 0302 clinical medicine Surgery procedure Germany medicine Humans Minimally Invasive Surgical Procedures lcsh:Science Multidisciplinary business.industry General surgery Mortality rate lcsh:R Sigmoid colon medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Invasive surgery 030211 gastroenterology & hepatology lcsh:Q Laparoscopy business Colorectal Neoplasms Facilities and Services Utilization |
| Zdroj: | Scientific Reports Scientific Reports, Vol 8, Iss 1, Pp 1-7 (2018) |
| ISSN: | 2045-2322 |
| Popis: | Minimally invasive surgery (MIS) has superior short-term outcomes than open surgery (OS) for colorectal cancer (CRC). However, a nationwide dataset has not been analysed to confirm these findings. We evaluated the distribution and outcomes of MIS for CRC from 2005 to 2015; all in-patients with CRC surgery procedure codes were identified from hospital data, which are entered into the nationwide diagnosis-related group database and forwarded anonymised to the Federal Bureau of Statistics. We determined absolute MIS, morbidity, and mortality rates for specific sub-categories, including procedure type. We identified 345,913 in-patient files. The MIS rate increased from 6.4% (n = 2366; 2005) to 28.5% (n = 8363; 2015), with the highest rates for sigmoid colon (38%) and rectal (39%) resections. The overall conversion rate was 14.4%, without noticeable improvement over time. International Classification of Disease codes related to postoperative complications were documented more frequently after OS than after MIS. OS was associated with a higher mortality rate (4.7%) than MIS (1.8%) (P |
| Databáze: | OpenAIRE |
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