L Dellabough1, J Duda, RN2, S Malik, DR2. 1UBC Medicine, 2Island Health
BACKGROUND: A laparoscopic surgical approach for colectomies has been correlated with better surgical and patient outcomes. This quality improvement review hopes to examine some of the supposed variables affected by a difference in surgical procedures to determine if the results are consistent with the current literature.
MATERIALS AND METHODS: Data over the past five years from The American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) database was used to identify colectomies performed at the Royal Jubilee Hospital, Victoria General Hospital, and Nanaimo Regional General Hospital. Comparisons were made between open (oc) & laparoscopic colectomies (lc), and between elective & emergent colectomies.
RESULTS: 266 elective cases were collected across the three hospital; lc = 156 and oc = 110. Most demographic data was similar between oc and lc +/- 5% except oc had 5.1% more people that smoked, 10.6% more people with hypertension, and 6.1% more people with malignancies. The patients that received oc stayed 2.7 more days in the hospital, had an increased chance of an anastomotic leak by 1.2%, 3.6% increase in re-admission rate, and a 3.3% increase in post-op infection. Elective laparoscopic surgeries were longer surgeries by 14.7 minutes and no difference in mortality rates were noted.
CONCLUSIONS: While there was considerable variance in outcomes for emergent surgeries, elective colectomies were shown to have better patient results when done using a laparoscopic technique. This is consistent with the results of current studies analyzing similar procedures.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79182
Program Number: P664
Presentation Session: Poster (Non CME)
Presentation Type: Poster