TY - JOUR
T1 - The current status of emergent laparoscopic colectomy
T2 - a population-based study of clinical and financial outcomes
AU - Keller, Deborah S.
AU - Pedraza, Rodrigo
AU - Flores-Gonzalez, Juan Ramon
AU - LeFave, Jean Paul
AU - Mahmood, Ali
AU - Haas, Eric M.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - 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
AB - 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
KW - Colon and rectal surgery
KW - Emergency surgery
KW - Emergent colectomy
KW - Healthcare outcomes
KW - Laparoscopic surgery
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U2 - 10.1007/s00464-015-4605-z
DO - 10.1007/s00464-015-4605-z
M3 - Article
C2 - 26490770
AN - SCOPUS:84944937407
SN - 0930-2794
VL - 30
SP - 3321
EP - 3326
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 8
ER -