The current status of emergent laparoscopic colectomy: a population-based study of clinical and financial outcomes

Deborah S. Keller, Rodrigo Pedraza, Juan Ramon Flores-Gonzalez, Jean Paul LeFave, Ali Mahmood, Eric M. Haas

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background: Population-based studies evaluating laparoscopic colectomy and outcomes compared with open surgery have concentrated on elective resections. As such, data assessing non-elective laparoscopic colectomies are limited. Our goal was to evaluate the current usage and outcomes of laparoscopic in the urgent and emergent setting in the USA. Methods: A national inpatient database was reviewed from 2008 to 2011 for right, left, and sigmoid colectomies in the non-elective setting. Cases were stratified by approach into open or laparoscopic groups. Demographics, perioperative clinical variables, and financial outcomes were compared across each group. Results: A total of 22,719 non-elective colectomies were analyzed. The vast majority (95.8 %) was open. Most cases were performed in an urban setting at non-teaching hospitals by general surgeons. Colorectal surgeons were significantly more likely to perform a case laparoscopic than general surgeons (p 

Original languageEnglish (US)
Pages (from-to)3321-3326
Number of pages6
JournalSurgical Endoscopy and Other Interventional Techniques
Volume30
Issue number8
DOIs
StatePublished - Aug 1 2016

Keywords

  • Colon and rectal surgery
  • Emergency surgery
  • Emergent colectomy
  • Healthcare outcomes
  • Laparoscopic surgery

ASJC Scopus subject areas

  • Surgery

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