• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

30-Day Surgical Outcomes in Laparoscopic Versus Open Colorectal Surgery between 2005-2014 Using the ACS-NSQIP Database

Catherine M Hambleton Davis, MD1, Beverly A Shirkey, PhD2, Linda W Moore, MS, RDN, LD, CCRP1, H. Randolph Bailey, MD1, Brian J Dunkin, MD1, Marianne V Cusick, MD, MPH1. 1Houston Methodist Hospital, 2University of Oxford

Background: Previous analysis has suggested that laparoscopic surgery is being widely adopted in the field of colorectal surgery (CRS), including in higher risk and more acutely ill patients. The goal of the current study is to analyze surgical outcomes in laparoscopic versus open CRS as minimally invasive technique is applied more broadly.

Methods: Using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database from 2005-2014, colorectal procedures were identified by CPT codes and categorized to open or laparoscopic surgery. Overall and yearly means and rates were then calculated for 16 outcomes measures.

Results: A total of 277,376 colorectal cases were identified, 114,359 (41.2%) performed laparoscopically. The use of laparoscopy increased yearly, from 22.7% in 2005 to 41.2% in 2014. Differences were noted in all analyzed 30-day outcomes in the laparoscopic versus open groups: death (0.90% (0.85-0.96) vs. 5.48% (5.37-5.59)), cardiac arrest requiring CPR (0.30% (0.27-0.34) vs. 1.21% (1.16-1.27)), stroke (0.18% (0.16-0.21) vs. 0.50% (0.47-0.54)), myocardial infarction (MI) (0.37% (0.33-0.40) vs. 0.94% (0.90-0.99)), pulmonary embolism (0.46% (0.42-0.50) vs. 0.97% (0.92-1.02)), deep vein thrombosis (0.92% (0.87-0.98) vs. 2.21% (2.14-2.28)), pneumonia (1.38% (0.31-1.45) vs. 4.94% (4.84-5.05)), ventilator >48 hours (1.07% (1.01-1.13) vs. 7.45% (7.33-7.58)), superficial surgical site infection (SSI) (4.69% (4.57-4.82) vs. 8.56% (8.42-8.69)), deep incisional SSI (0.88% (0.83-0.94) vs. 2.17% (2.10-2.24)), organ space infection (3.18% (3.01-3.29) vs. 5.76% (5.64-5.87)), renal insufficiency (0.47% (0.44-0.52) vs. 1.19% (1.14-1.24)), acute renal failure (0.31% (0.28-0.34) vs. 1.40% (1.34-1.46)), urinary tract infection (2.31% (2.23-2.41) vs. 4.34% (4.24-4.44)), operating room time (174.3 minutes (173.8-174.8) vs. 167.5 (167.0-168.0)), and length of hospital stay (6.3 days (6.2-6.3) vs. 11.5 (11.4-11.5)), respectively. Additionally, death and stroke tended to decrease over time in the laparoscopic cohort from 1.41% to 0.78% and 0.28 to 0.16%, respectively, while no change or increase was seen in the open cohort. MI tended to increase over time in the open cohort from 0.42% to 1.12%, but not in the laparoscopic cohort.

Conclusion: Over a ten-year period, 30-day outcomes favored laparoscopic over open CRS. Additionally, select outcomes demonstrated improvement in the laparoscopic cohort over time compared to the open cohort. Given the increase in laparoscopic CRS in more complex patients, improved quality in laparoscopy is suggested. However, it is possible that observed differences may be due to unequal characteristics of the two groups of patients. Further analysis is needed to evaluate improved proficiency in laparoscopic surgery.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78056

Program Number: P220

Presentation Session: Poster (Non CME)

Presentation Type: Poster

64

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2017 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons