Population-based trend analysis of 2813 patients undergoing laparoscopic sigmoid resection
| Autor: | Michel Adamina, Dieter Hahnloser, Laura C. Rosella, U. Guller, P J Karanicolas |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Population Young Adult Postoperative Complications Risk Factors medicine Humans Prospective Studies Young adult Intraoperative Complications Prospective cohort study Laparoscopy education Aged Aged 80 and over education.field_of_study Sigmoid Diseases medicine.diagnostic_test business.industry Postoperative complication Middle Aged Surgery Diverticulum Trend analysis Diverticular disease business Sigmoid resection |
| Zdroj: | British Journal of Surgery. 97:79-85 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1002/bjs.6787 |
| Popis: | BackgroundThe use of laparoscopic sigmoid resection for diverticular disease has become increasingly popular. The objective of this trend analysis was to assess whether clinical outcomes following laparoscopic sigmoid resection for diverticular disease have improved over the past 10 years.MethodsThe analysis was based on the prospective database of the Swiss Association of Laparoscopic and Thoracoscopic Surgery. Some 2813 patients undergoing elective laparoscopic sigmoid resection for diverticular disease from 1995 to 2006 were included. Unadjusted and risk-adjusted analyses were performed.ResultsOver time, there was a significant reduction in the conversion rate (from 27·3 to 8·6 per cent; Ptrend < 0·001), local postoperative complication rate (23·6 to 6·2 per cent; Ptrend = 0·004), general postoperative complication rate (14·6 to 4·9 per cent; Ptrend = 0·024) and reoperation rate (5·5 to 0·6 per cent; Ptrend = 0·015). Postoperative median length of hospital stay significantly decreased from 11 to 7 days (Ptrend < 0·001).ConclusionThis first trend analysis in the literature of clinical outcomes after laparoscopic sigmoid resection, based on almost 3000 patients, has provided compelling evidence that rates of postoperative complications, conversion and reoperation, and length of hospital stay have decreased significantly over the past 10 years. |
| Databáze: | OpenAIRE |
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