Evaluating quality across minimally invasive platforms in colorectal surgery

Deborah S. Keller, Juan R. Flores-Gonzalez, Sergio Ibarra, Nisreen Madhoun, Reena Tahilramani, Ali Mahmood, Eric M. Haas

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Introduction: There is an increasing emphasis on optimizing and measuring surgical quality. The safety and efficacy of minimally invasive techniques have been proven; however, direct comparison of outcomes across platforms has not been performed. Our goal was to compare operative times and quality across three minimally invasive platforms in colorectal surgery. Methods: A prospective database was reviewed for elective minimally invasive surgery (MIS) cases from 2008 to 2014. Patients were stratified into multiport laparoscopic, single-incision laparoscopic (SILS) or robotic-assisted laparoscopic approaches (RALS). Demographics, perioperative, and postoperative outcomes were analyzed. Multivariate regression analysis was used to predict the demographic and procedural factors and outcomes associated with each platform. The main outcome measures were operative time and surgical quality by approach. Results: A total of 1055 cases were evaluated—28.4 % LAP, 18.5 % RALS, and 53.1 % SILS. RALS had the most complex patients, pathology, and procedures. The main diagnosis for RALS was rectal cancer (49.5 %), patients predominantly underwent pelvic surgery (72.8 %), had higher rates of neoadjuvant chemoradiation (p 

Original languageEnglish (US)
Pages (from-to)2207-2216
Number of pages10
JournalSurgical Endoscopy and Other Interventional Techniques
Volume30
Issue number6
DOIs
StatePublished - Jun 1 2016

Keywords

  • Colorectal surgery
  • Laparoscopic surgery
  • Minimally invasive surgery
  • Robotic surgery
  • Surgical outcomes

ASJC Scopus subject areas

  • Surgery

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