• 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

Laparoscopic Surgery for Inflammatory Bowel Disease: A Nationwide Analysis of Trends and Outcomes

Mark H Hanna, MD1, Grace S Hwang, MD2, Michael J Phelan, PhD3, Alessio Vinci, MD1, Joseph C Carmichael, MD1, Alessio Pigazzi, MD, PhD1, Michael J Stamos, MD1, Steven Mills, MD1. 1University Of California – Irvine, Dept of Surgery, 2University of Southern California, Dept of Surgery, 3Department of Statistics, University of California Irvine

Introduction: Laparoscopic–assisted surgery for Inflammatory Bowel Disease (IBD) has been gaining in popularity over the past decade. However, there remains a paucity of large, population-based studies comparing the trends and outcomes of Laparoscopic Surgery (LS) to the more established Open Surgical (OS) technique.

Materials and Methods: The Nationwide Inpatient Sample (NIS) database was used to retrospectively identify patients who underwent LS and OS for IBD from 2009 to 2012. Trends in different hospital settings, indications, and demographics were analyzed. Multivariate regression analysis was used to compare selected postoperative outcomes and complications between LS and conventional OS.

Results: A total of 8,989 colorectal resections were performed for IBD over the study period, with 32% of cases utilizing LS. A total of 6,029 resections were preformed for Crohn’s Disease (CD) with 68% of cases using OS and 32% using LS. A total of 2,960 resections were performed for Ulcerative Colitis (UC), 69% using OS and 31% using LS. From 2009 to 2012, the use of LS increased in all hospital settings from ~30% to 35% with it being most common in large, urban, teaching hospitals. The most common LS cases for IBD included right hemicolectomy 1,050 (37%), ileocectomy 653 (23%), total abdominal colectomy 512 (18%), total colectomy with permanent ileostomy 203 (7%), sigmoidectomy 180 (6%) and total colectomy with pouch 138 (5%). Using multivariate analysis to control for case selection bias and to compare OS and LS in Crohn’s Disease cases, LS was associated with significantly shorter length of stay (LOS) (-1.54 days, P<0.01), decreased hospital costs (-$4,973.87, P<0.05), lower morbidity AOR=0.76 (P<0.01), lower incidence of anastomotic leak AOR=0.57 (P<0.01) and lower incidence of wound infections AOR=0.71 (P<0.05). Furthermore, among ulcerative colitis cases, LS was associated with significantly shorter LOS (-1.29 days, P<0.01), lower morbidity AOR= 0.69 (P<0.01) and lower incidence of wound infections AOR= 0.57 (P<0.01). No significant differences were found in overall mortality, post-operative bleeding and incidence of ileus/bowel obstruction in both CD and UC when compared to OS.

Conclusions: Laparoscopic-assisted surgery for IBD is limited but increasing in prevalence, comprising a total of 32% of colorectal cases nationwide. LS was associated with significantly shorter LOS, lower morbidity, and lower incidence of wound infections in both CD and UC patients. LS showed a significantly lower incidence of anastomotic leak only in CD patients. LS did not significantly change overall mortality. Large prospective randomized trials are needed to validate these findings.

image

188

Share this:

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

Related

« Return to SAGES 2015 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