• 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

The Current Status of Laparoscopic Versus Open Colectomy: Incidence and Short Term Outcomes in a Cohort of 59,000 Patients.

Rodrigo Pedraza, MD, Javier Nieto, MD, Victor Malave, MD, Eric M Haas, MD FACS FASCRS. Division of Elective Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston

 

 Introduction: Despite research outcomes, there remain doubts regarding the short-term benefits of laparoscopic colectomy (LC) over open colectomy (OC). As such, many surgeons remain hesitant to take the necessary commitment and resources to introduce this highly technical procedure into their routine practice. In part, the lack of uniform acceptance of the benefits of LC has retarded its widespread utilization and implementation. The purpose of this retrospective study was to identify the current utilization of laparoscopic colectomy and to evaluate short-term comparative outcomes in a large cohort of patient presenting for elective and emergent colectomy.

Methods: The authors queried the de-identified Premier PerspectiveTM database for the data acquisition. This database provided information of discharge files from 348 health care facilities including urban or rural and teaching or non-teaching hospitals. Data analysis criteria included patients 18 years of age and older who underwent OC or LC between September 2008 and August 2010. The ICD-9 procedure codes were utilized to obtain the information of patients who had OC (codes: 17.31-17.39 and 45.81-45.83) or LC (codes: 45.71-45.79 and 45.82). Analyzed data included age, gender, diagnosis (benign or malignant disease), severity of illness utilizing the 3MTM APRTM-DRG analysis, type of admission (emergency, urgent, elective or trauma), type of procedure and operative time. Outcomes following colectomy including length of stay, total hospital costs, and readmission rates within 30 days following discharge were evaluated.

Results: There were a total of 59,912 patients that underwent colonic resection from September 2008 to August 2010 with a mean age of 63.9±15.8 years in OC group and 61.6±14.9 years in the LC group. An open approach was utilized in 68.1% of the colectomies and a laparoscopic approach was utilized in 31.9%. Surgery was indicated for malignant cases in 22.2% of OC patients and in 26.3% of LC group. In the OC group the severity of illness was 17.3% minor, 32.0% moderate, 28.3% major, and 22.4% extreme severity. In patients who underwent LC the severity evaluation resulted in 43.7% minor, 37.8% moderate, 14.1% major, and 4.3% extreme. In the OC group, just under half of the procedures were classified as elective (45.3%), whereas in the LC group, the majority were elective admissions (79.2%). The mean operative time was similar between the two groups (3.3±1.9 hours vs. 3.4±1.6 hours); nonetheless, the LOS was nearly twice as long in the OC group (11.2±10.7 days) compared to the LC cases (6.3±5.8 days). There was also a higher readmission rate in the OC group (15.5%) versus the LC group (9.1%). The total hospital costs was approximately $10,000 more in the OC group ($26,324.9±29,788.1) versus the LC ($16,171.8±16,548.6).

Conclusions: In spite of its safety, feasibility, and published benefits, we present current data indicating that LC remains underutilized in the United States, accounting for only one third of colon resections. The majority of LC procedures are performed for elective procedures involving patients of lower illness severity and results in shorter LOS, lower readmission rate and lower total hospital costs.


Session Number: Poster – Poster Presentations
Program Number: P122
View Poster

1,073

Share this:

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

Related

« Return to SAGES 2012 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