TY - JOUR
T1 - Comparison of clinical outcome between laparoscopic and open right hemicolectomy
T2 - A nationwide study
AU - Lee, Cha Ze
AU - Kao, Li Ting
AU - Lin, Herng Ching
AU - Wei, Po Li
N1 - Publisher Copyright:
© 2015 Lee et al.
PY - 2015/8/15
Y1 - 2015/8/15
N2 - Background: This study aimed to compare clinical outcome between laparoscopic and open right hemicolectomy. Methods: The data were sourced from Taiwan's National Health Insurance Research Database. This study included 14,320 and 1313 patients who underwent open and laparoscopic right hemicolectomies, respectively. The study outcome included "intensive care unit (ICU) admission," "over 2 h of general anesthesia," "use of mechanical ventilation," "acute respiratory failure," "in-hospital death," and "hospitalization for pneumonia." Separate conditional logistic regressions were performed for each clinical outcome. Results: The results showed that patients who underwent an open right hemicolectomy had significantly higher likelihood of ICU admission (31.4 vs. 13.4 %, p <0.001), acute respiratory failure (3.6 vs. 0.8 %, p <0.001), mechanical ventilation (12.8 vs. 4.1 %, p <0.001), in-hospital death (3.7 vs. 0.9 %, p <0.001), over 2 h of general anesthesia (4.6 vs. 1.2 %, p <0.001), and hospitalization for pneumonia (5.8 vs. 3.1 %, p <0.001) than patients who underwent a laparoscopic right hemicolectomy. Adjusted conditional logistic regression analyses revealed that patients who underwent an open right hemicolectomy were 2.96, 4.98, 3.41, 4.01, 3.44, and 1.78 times more likely to be admitted to the ICU, to have acute respiratory failure, the use of mechanical ventilation, in-hospital death, over 2 h of general anesthesia, and hospitalization for pneumonia, respectively, than patients who underwent a laparoscopic right hemicolectomy. Conclusions: Laparoscopic right hemicolectomy reduced risk of post-operative pulmonary complications.
AB - Background: This study aimed to compare clinical outcome between laparoscopic and open right hemicolectomy. Methods: The data were sourced from Taiwan's National Health Insurance Research Database. This study included 14,320 and 1313 patients who underwent open and laparoscopic right hemicolectomies, respectively. The study outcome included "intensive care unit (ICU) admission," "over 2 h of general anesthesia," "use of mechanical ventilation," "acute respiratory failure," "in-hospital death," and "hospitalization for pneumonia." Separate conditional logistic regressions were performed for each clinical outcome. Results: The results showed that patients who underwent an open right hemicolectomy had significantly higher likelihood of ICU admission (31.4 vs. 13.4 %, p <0.001), acute respiratory failure (3.6 vs. 0.8 %, p <0.001), mechanical ventilation (12.8 vs. 4.1 %, p <0.001), in-hospital death (3.7 vs. 0.9 %, p <0.001), over 2 h of general anesthesia (4.6 vs. 1.2 %, p <0.001), and hospitalization for pneumonia (5.8 vs. 3.1 %, p <0.001) than patients who underwent a laparoscopic right hemicolectomy. Adjusted conditional logistic regression analyses revealed that patients who underwent an open right hemicolectomy were 2.96, 4.98, 3.41, 4.01, 3.44, and 1.78 times more likely to be admitted to the ICU, to have acute respiratory failure, the use of mechanical ventilation, in-hospital death, over 2 h of general anesthesia, and hospitalization for pneumonia, respectively, than patients who underwent a laparoscopic right hemicolectomy. Conclusions: Laparoscopic right hemicolectomy reduced risk of post-operative pulmonary complications.
KW - Hemicolectomy
KW - Laparoscopic
KW - Outcome measures
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U2 - 10.1186/s12957-015-0666-7
DO - 10.1186/s12957-015-0666-7
M3 - Article
C2 - 26271770
AN - SCOPUS:84939137648
SN - 1477-7819
VL - 13
JO - World Journal of Surgical Oncology
JF - World Journal of Surgical Oncology
IS - 1
M1 - 250
ER -