Laparoscopic converted to open colectomy: predictors and outcomes from the Nationwide Inpatient Sample
| Autor: | Kim C. Lu, Brian S. Diggs, Molly M. Cone, Daniel O. Herzig, Jennifer D. Rea |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Colectomies Constipation Intraoperative Complication medicine.medical_treatment Colonic Diseases medicine Transverse Colectomy Humans Registries Laparoscopy Colectomy Aged Retrospective Studies Aged 80 and over Inpatients Laparotomy medicine.diagnostic_test business.industry General surgery General Medicine Length of Stay Diverticulitis medicine.disease United States Surgery Endoscopy Treatment Outcome Female medicine.symptom business Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 201:634-639 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2011.01.009 |
| Popis: | Background Early in their learning curve, surgeons need to appropriately select patients to avoid conversion from laparoscopic to an open colectomy. Methods Using the Nationwide Inpatient Sample, laparoscopic and laparoscopic converted to open colectomies performed between 2002 and 2007 were compared. We evaluated patient and institutional characteristics to find significant predictors and outcomes of conversion. Results Between 2002 and 2007, the rate of conversion was high, ranging from 35.7% to 38.0%. Multivariate predictors of conversion included obesity, diverticulitis, inflammatory bowel disease, constipation, metastatic disease, nonelective admission, left or transverse colectomy, intraoperative complication, lower socioeconomic status, uninsured status, and rural hospital location. A colectomy for benign colon polyps was less likely to be converted. Conversion to an open colectomy did not increase inpatient mortality. Conclusions Predictors of conversion from open to laparoscopic colectomy were found from a national database reflecting all US laparoscopic colectomies. Conversion did not increase inpatient mortality. |
| Databáze: | OpenAIRE |
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