Short-term outcomes of laparoscopic approach to colonic obstruction for colon cancer
| Autor: | Garth H. Ballantyne, Alessio Pigazzi, Zhobin Moghadamyeghaneh, Michael J. Stamos, Henry Talus |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Open colectomy Colorectal cancer medicine.medical_treatment Clinical Sciences 03 medical and health sciences 0302 clinical medicine Postoperative Complications Laparoscopic Colonic obstruction Internal medicine medicine Humans Surgical treatment Colectomy Cancer Retrospective Studies business.industry Minimally invasive approach Hepatology Length of Stay medicine.disease Surgery Colo-Rectal Cancer Colonic cancer Treatment Outcome 030220 oncology & carcinogenesis Colonic Neoplasms 030211 gastroenterology & hepatology Laparoscopy Patient Safety business Digestive Diseases 6.4 Surgery Abdominal surgery |
| Zdroj: | Surgical endoscopy, vol 35, iss 6 |
| Popis: | BackgroundWe speculated that a laparoscopic approach to emergent/urgent partial colectomy for colonic obstruction would be associated with less morbidity and shorter length of stay with similar mortality to open colectomy. We compared the outcomes of laparoscopic and open approaches to emergent/urgent partial colectomy for colonic obstruction from colonic cancer using data from the National Surgical Quality Improvement Program (NSQIP) database for the period of 2012-2017.MethodsMultivariate analysis compared NSQIP data points following laparoscopic, laparoscopic converted to open, and open colectomy for emergent/urgent colectomy for colonic obstruction from colon cancer from 2012 to 2017.ResultsA total of 1293 patients who underwent emergent colectomy for colon obstruction from colon cancer during 2012-2017 were identified within the NSQIP database. Laparoscopic approach was used for colonic obstruction in 19.3% of operations with a conversion rate of 28.5%. A laparoscopic approach to obstructing colonic cancers was associated with lower morbidity (50% vs. 61.8%, AOR: 0.67, P = 0.01) and shorter hospitalization length (10days vs. 13days, mean difference: 3days, P |
| Databáze: | OpenAIRE |
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