Outcomes of laparoscopic and open colectomy at academic centers

J. Esteban Varela, Massimo Asolati, Sergio Huerta, Thomas Anthony

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: Laparoscopic techniques have emerged as a suitable approach for colon resection. This study determined and compared the outcomes of patients undergoing laparoscopic or open colectomy at United States academic centers. Methods: Using ICD-9-CM codes, we obtained data from the University HealthSystem Consortium database for 50,443 patients who underwent open (n = 47,090; 94%) or laparoscopic (n = 3,353; 6%) colectomy during a 5-year period (2002 to 2006). Outcomes studied included length of stay (LOS), costs, in-hospital morbidity and risk-adjusted mortality rates. Results: Mean LOS (open = 11 days and laparoscopic = 7 days) was significantly shorter and mean costs (open = $23,000 and laparoscopic = $17,000) significantly fewer with the laparoscopic approach. The overall in-hospital morbidity rate was significantly lower with laparoscopic colectomy (open = 33% and laparoscopic = 24%). The risk-adjusted mortality ratio was comparable between groups (open = .9 and laparoscopic = .7). Comments: Despite the major biases inherent in this retrospective review of the University Health System Consortium, which favors the use of laparoscopic colectomy by United States academic surgeons, laparoscopic colectomy offers the potential of significantly shorter LOS, fewer costs, lower in-hospital morbidity rates, and comparable risk-adjusted mortality rates compared with open colectomy. Laparoscopic colectomy is as safe as the open approach.

Original languageEnglish (US)
Pages (from-to)403-406
Number of pages4
JournalAmerican Journal of Surgery
Volume196
Issue number3
DOIs
StatePublished - Sep 2008

Fingerprint

Colectomy
Length of Stay
Morbidity
Mortality
Costs and Cost Analysis
Hospital Costs
International Classification of Diseases
Colon
Databases
Health

Keywords

  • Colectomy
  • Laparoscopy
  • Open
  • Outcomes

ASJC Scopus subject areas

  • Surgery

Cite this

Outcomes of laparoscopic and open colectomy at academic centers. / Varela, J. Esteban; Asolati, Massimo; Huerta, Sergio; Anthony, Thomas.

In: American Journal of Surgery, Vol. 196, No. 3, 09.2008, p. 403-406.

Research output: Contribution to journalArticle

Varela, J. Esteban ; Asolati, Massimo ; Huerta, Sergio ; Anthony, Thomas. / Outcomes of laparoscopic and open colectomy at academic centers. In: American Journal of Surgery. 2008 ; Vol. 196, No. 3. pp. 403-406.
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