Open colectomy vs. laparoscopic colectomy in Japan: a retrospective study using real-world data from the diagnosis procedure combination database
| Autor: | Norihiro Sato, Shinya Matsuda, Jun Nagata, Kazunori Shibao, Yoshihisa Fujino, Yasuki Akiyama, Kenji Fujimoto, Keiji Hirata, Takayuki Torigoe, Takehide Tajima |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Laparoscopic surgery Databases Factual Colorectal cancer Open colectomy medicine.medical_treatment computer.software_genre Endoscopy Gastrointestinal Laparoscopic colectomy 03 medical and health sciences 0302 clinical medicine Japan medicine Humans Hospital Mortality Colectomy Aged Retrospective Studies Aged 80 and over Database business.industry Mortality rate Retrospective cohort study General Medicine Odds ratio Length of Stay Middle Aged medicine.disease Logistic Models Treatment Outcome 030220 oncology & carcinogenesis Costs and Cost Analysis Female Laparoscopy 030211 gastroenterology & hepatology Surgery Morbidity Safety Colorectal Neoplasms business computer |
| Zdroj: | Surgery Today. 50:1255-1261 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-020-02006-6 |
| Popis: | To compare the short-term outcomes of conventional open colectomy with those of laparoscopic colectomy for colon cancer. We retrieved data between January 2014 and March 2016 from the Diagnosis Procedure Combination database. A total of 69,418 patients who underwent colectomy for colon cancer were analyzed from among 15,901,766 cases of colorectal cancer. We applied a multilevel logistic regression model using a 2-level structure of individuals nested from 1065 hospitals. A total of 22,440 open colectomy and 46,978 laparoscopic colectomy procedures were performed. The in-hospital mortality rate was significantly lower in the laparoscopic group than in the open group (0.28% vs. 0.06%, odds ratio [OR] 0.40, p |
| Databáze: | OpenAIRE |
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