Laparoscopic Surgery Requiring Abdominal Insufflation in Patients With Congenital Heart Disease
| Autor: | Nicole L. Herrick, Jamil A. Aboulhosn, Stephen W. Bickler, Ami B. Bhatt, John J. Nigro, Howaida El-Said, Yuli Y. Kim, Laith Alshawabkeh, Timothy M. Maus |
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| Rok vydání: | 2022 |
| Předmět: |
Heart Defects
Congenital Laparoscopic surgery Insufflation medicine.medical_specialty Heart disease medicine.medical_treatment Subgroup analysis 030204 cardiovascular system & hematology 03 medical and health sciences Postoperative Complications 0302 clinical medicine 030202 anesthesiology Humans Medicine In patient Hospital Mortality Retrospective Studies business.industry Open surgery Retrospective cohort study Odds ratio Length of Stay medicine.disease Surgery Treatment Outcome Anesthesiology and Pain Medicine Laparoscopy Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 36:707-712 |
| ISSN: | 1053-0770 |
| Popis: | To determine if patients with congenital heart disease are undergoing laparoscopic surgery requiring abdominal insufflation and to compare the outcomes of these procedures with those who underwent an open surgical approach.This was a retrospective study using the National Inpatient Sample from 2006 to 2014. Individuals with congenital heart disease who underwent at least one of six selected surgical procedures (laparoscopic or open) were included in the study. Subgroup analysis was performed on patients with Fontan palliation.The primary outcome was to determine the frequency with which congenital heart disease patients undergo laparoscopic surgery requiring abdominal insufflation compared with open surgery. Secondary outcomes included all-cause in-hospital mortality and in-hospital length of stay. Of the 5,527 patients included, nearly half underwent laparoscopic surgery (46.3%), and 128 (2.3%) had single-ventricle circulation. All-cause mortality was significantly higher for those who underwent open surgery compared with the laparoscopic approach (3.6% v 0.9%; odds ratio [OR], 4.0 [2.6-6.3]; p0.0001). Subgroup analysis of patients with Fontal palliation older than five years showed 30 (42%) underwent laparoscopic surgery and there was no mortality difference between the laparoscopic and open approaches (OR, 1.4 [0.2-21.3], p = 0.8). Length of stay was significantly shorter for patients undergoing laparoscopic compared with open surgery (median three days [interquartile range, two-five] v six days [three-13], p0.0001).Individuals with congenital heart disease are being offered laparoscopic surgery that requires abdominal insufflation. All-cause mortality and length of stay were higher for patients who underwent open surgical operations. |
| Databáze: | OpenAIRE |
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