Is Laparoscopic Colectomy Applicable to Patients With Body Mass Index >30? A Case-Matched Comparative Study With Open Colectomy
PURPOSE: METHODS: RESULTS:The two groups were matched for age (P = 0.06), gender (P = 1), American Society of Anesthesiologists class (P = 0.2), body mass index (P = 0.4), indication for surgery (P = 1), and procedure (P = 1). By using intention-to-treat-type analysis, there was no difference in med...
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| Veröffentlicht in: | Diseases of the colon & rectum 2005-05, Vol.48 (5), p.975-981 |
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| creator | Delaney, Conor P Pokala, Naveen Senagore, Anthony J Casillas, Sergio Kiran, Ravi P Brady, Karen M Fazio, Victor W |
| description | PURPOSE:
METHODS:
RESULTS:The two groups were matched for age (P = 0.06), gender (P = 1), American Society of Anesthesiologists class (P = 0.2), body mass index (P = 0.4), indication for surgery (P = 1), and procedure (P = 1). By using intention-to-treat-type analysis, there was no difference in median operating time (100 vs. 110 (mean, 123 vs. 112) minutes; P = 0.1), complications (21 vs. 24 percent; P = 0.74), readmission (17 vs. 10.6 percent; P = 0.3), reoperation rates (6.4 vs. 4.3 percent; P = 0.75), or direct costs (median, $3,368 vs. $3,552; mean, $4,003 vs. $4,037; P = 0.14) between laparoscopic colectomy or open colectomy; however, the median length of stay (3 vs. 5.5 (mean, 3.8 vs. 5.8) days; P = 0.0001) was significantly shorter after laparoscopic colectomy. Twenty-eight patients required conversion for adhesions (n = 11), bleeding (n = 3), obesity-hindering vision or dissection (n = 9), large phlegmon or tumor (n = 4), and ureteric injury (n = 1). The mean operating time for conversions was 142 minutes and length of stay was 6.4 days. Compared with laparoscopically completed cases, the median length of stay (5 vs. 2 (mean, 6.4 vs. 2.8) days; P = 0.0001) and median operating times (150 vs. 95 (mean, 142 vs. 115) minutes; P = 0.02) were significantly higher in the converted group, but there was no difference in the complication (P = 0.8), readmission (P = 1), or reoperation (P = 0.7) rates. Compared with open colectomy, the operating time (P = 0.02) was significantly higher in the converted group but there were no significant differences in the length of stay (P = 0.18), complication (P = 1), readmission (P = 0.35), or reoperative (P = 1) rates.
CONCLUSIONS: |
| doi_str_mv | 10.1007/s10350-004-0941-0 |
| format | Article |
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METHODS:
RESULTS:The two groups were matched for age (P = 0.06), gender (P = 1), American Society of Anesthesiologists class (P = 0.2), body mass index (P = 0.4), indication for surgery (P = 1), and procedure (P = 1). By using intention-to-treat-type analysis, there was no difference in median operating time (100 vs. 110 (mean, 123 vs. 112) minutes; P = 0.1), complications (21 vs. 24 percent; P = 0.74), readmission (17 vs. 10.6 percent; P = 0.3), reoperation rates (6.4 vs. 4.3 percent; P = 0.75), or direct costs (median, $3,368 vs. $3,552; mean, $4,003 vs. $4,037; P = 0.14) between laparoscopic colectomy or open colectomy; however, the median length of stay (3 vs. 5.5 (mean, 3.8 vs. 5.8) days; P = 0.0001) was significantly shorter after laparoscopic colectomy. Twenty-eight patients required conversion for adhesions (n = 11), bleeding (n = 3), obesity-hindering vision or dissection (n = 9), large phlegmon or tumor (n = 4), and ureteric injury (n = 1). The mean operating time for conversions was 142 minutes and length of stay was 6.4 days. Compared with laparoscopically completed cases, the median length of stay (5 vs. 2 (mean, 6.4 vs. 2.8) days; P = 0.0001) and median operating times (150 vs. 95 (mean, 142 vs. 115) minutes; P = 0.02) were significantly higher in the converted group, but there was no difference in the complication (P = 0.8), readmission (P = 1), or reoperation (P = 0.7) rates. Compared with open colectomy, the operating time (P = 0.02) was significantly higher in the converted group but there were no significant differences in the length of stay (P = 0.18), complication (P = 1), readmission (P = 0.35), or reoperative (P = 1) rates.
CONCLUSIONS:</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/s10350-004-0941-0</identifier><identifier>PMID: 15793638</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: The ASCRS</publisher><subject>Biological and medical sciences ; Body Mass Index ; Chi-Square Distribution ; Colectomy - methods ; Digestive system. Abdomen ; Endoscopy ; Female ; Health Care Costs - statistics & numerical data ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Length of Stay - statistics & numerical data ; Male ; Medical sciences ; Metabolic diseases ; Middle Aged ; Obesity ; Obesity - complications ; Postoperative Complications - epidemiology ; Prospective Studies ; Statistics, Nonparametric ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>Diseases of the colon & rectum, 2005-05, Vol.48 (5), p.975-981</ispartof><rights>The ASCRS 2005</rights><rights>2005 INIST-CNRS</rights><rights>The American Society of Colon and Rectal Surgeons 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4011-879ece7b580b4cfa8cc39b5e68cd3789a0022fdcce0f3d4df4cf46b09e0f008d3</citedby><cites>FETCH-LOGICAL-c4011-879ece7b580b4cfa8cc39b5e68cd3789a0022fdcce0f3d4df4cf46b09e0f008d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16864506$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15793638$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Delaney, Conor P</creatorcontrib><creatorcontrib>Pokala, Naveen</creatorcontrib><creatorcontrib>Senagore, Anthony J</creatorcontrib><creatorcontrib>Casillas, Sergio</creatorcontrib><creatorcontrib>Kiran, Ravi P</creatorcontrib><creatorcontrib>Brady, Karen M</creatorcontrib><creatorcontrib>Fazio, Victor W</creatorcontrib><title>Is Laparoscopic Colectomy Applicable to Patients With Body Mass Index >30? A Case-Matched Comparative Study With Open Colectomy</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>PURPOSE:
METHODS:
RESULTS:The two groups were matched for age (P = 0.06), gender (P = 1), American Society of Anesthesiologists class (P = 0.2), body mass index (P = 0.4), indication for surgery (P = 1), and procedure (P = 1). By using intention-to-treat-type analysis, there was no difference in median operating time (100 vs. 110 (mean, 123 vs. 112) minutes; P = 0.1), complications (21 vs. 24 percent; P = 0.74), readmission (17 vs. 10.6 percent; P = 0.3), reoperation rates (6.4 vs. 4.3 percent; P = 0.75), or direct costs (median, $3,368 vs. $3,552; mean, $4,003 vs. $4,037; P = 0.14) between laparoscopic colectomy or open colectomy; however, the median length of stay (3 vs. 5.5 (mean, 3.8 vs. 5.8) days; P = 0.0001) was significantly shorter after laparoscopic colectomy. Twenty-eight patients required conversion for adhesions (n = 11), bleeding (n = 3), obesity-hindering vision or dissection (n = 9), large phlegmon or tumor (n = 4), and ureteric injury (n = 1). The mean operating time for conversions was 142 minutes and length of stay was 6.4 days. Compared with laparoscopically completed cases, the median length of stay (5 vs. 2 (mean, 6.4 vs. 2.8) days; P = 0.0001) and median operating times (150 vs. 95 (mean, 142 vs. 115) minutes; P = 0.02) were significantly higher in the converted group, but there was no difference in the complication (P = 0.8), readmission (P = 1), or reoperation (P = 0.7) rates. Compared with open colectomy, the operating time (P = 0.02) was significantly higher in the converted group but there were no significant differences in the length of stay (P = 0.18), complication (P = 1), readmission (P = 0.35), or reoperative (P = 1) rates.
CONCLUSIONS:</description><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Chi-Square Distribution</subject><subject>Colectomy - methods</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkk9r3DAQxUVpaDZpP0AvRRSam9ORJdnypWWz9M_ChhTa0qOQ5THrVLYcS066p371KtmFhZ6GGX7vjZgnQl4zuGQA5fvAgEvIAEQGlWAZPCMLJnmacKmekwUAyzNeQnFKzkK4TS3kUL4gp0yWFS-4WpC_60A3ZjSTD9aPnaUr79BG3-_ochxdZ03tkEZPv5nY4RAD_dXFLb3yzY5emxDoemjwD_3A4SNd0pUJmF2baLfYJKc--SbZPdLvcU6CJ-nNiMNxy0ty0hoX8NWhnpOfnz_9WH3NNjdf1qvlJrMCGMtUWaHFspYKamFbo6zlVS2xULbhpaoMQJ63jbUILW9E0yZIFDVUqQdQDT8nF3vfcfJ3M4ao-y5YdM4M6Oegi2SiCskS-PY_8NbP05DepnMmQJYKqgSxPWTT3cKErR6nrjfTTjPQj9HofTQ6RaMfo9GQNG8OxnPdY3NUHLJIwLsDYII1rp3MYLtw5ApVCAlF4sSee_Au4hR-u_kBJ71F4-I2bQTgQvIsB5BCwdP_SCfk_wCKQaWn</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Delaney, Conor P</creator><creator>Pokala, Naveen</creator><creator>Senagore, Anthony J</creator><creator>Casillas, Sergio</creator><creator>Kiran, Ravi P</creator><creator>Brady, Karen M</creator><creator>Fazio, Victor W</creator><general>The ASCRS</general><general>Springer</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200505</creationdate><title>Is Laparoscopic Colectomy Applicable to Patients With Body Mass Index >30? A Case-Matched Comparative Study With Open Colectomy</title><author>Delaney, Conor P ; Pokala, Naveen ; Senagore, Anthony J ; Casillas, Sergio ; Kiran, Ravi P ; Brady, Karen M ; Fazio, Victor W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4011-879ece7b580b4cfa8cc39b5e68cd3789a0022fdcce0f3d4df4cf46b09e0f008d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Chi-Square Distribution</topic><topic>Colectomy - methods</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delaney, Conor P</creatorcontrib><creatorcontrib>Pokala, Naveen</creatorcontrib><creatorcontrib>Senagore, Anthony J</creatorcontrib><creatorcontrib>Casillas, Sergio</creatorcontrib><creatorcontrib>Kiran, Ravi P</creatorcontrib><creatorcontrib>Brady, Karen M</creatorcontrib><creatorcontrib>Fazio, Victor W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delaney, Conor P</au><au>Pokala, Naveen</au><au>Senagore, Anthony J</au><au>Casillas, Sergio</au><au>Kiran, Ravi P</au><au>Brady, Karen M</au><au>Fazio, Victor W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is Laparoscopic Colectomy Applicable to Patients With Body Mass Index >30? A Case-Matched Comparative Study With Open Colectomy</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>2005-05</date><risdate>2005</risdate><volume>48</volume><issue>5</issue><spage>975</spage><epage>981</epage><pages>975-981</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>PURPOSE:
METHODS:
RESULTS:The two groups were matched for age (P = 0.06), gender (P = 1), American Society of Anesthesiologists class (P = 0.2), body mass index (P = 0.4), indication for surgery (P = 1), and procedure (P = 1). By using intention-to-treat-type analysis, there was no difference in median operating time (100 vs. 110 (mean, 123 vs. 112) minutes; P = 0.1), complications (21 vs. 24 percent; P = 0.74), readmission (17 vs. 10.6 percent; P = 0.3), reoperation rates (6.4 vs. 4.3 percent; P = 0.75), or direct costs (median, $3,368 vs. $3,552; mean, $4,003 vs. $4,037; P = 0.14) between laparoscopic colectomy or open colectomy; however, the median length of stay (3 vs. 5.5 (mean, 3.8 vs. 5.8) days; P = 0.0001) was significantly shorter after laparoscopic colectomy. Twenty-eight patients required conversion for adhesions (n = 11), bleeding (n = 3), obesity-hindering vision or dissection (n = 9), large phlegmon or tumor (n = 4), and ureteric injury (n = 1). The mean operating time for conversions was 142 minutes and length of stay was 6.4 days. Compared with laparoscopically completed cases, the median length of stay (5 vs. 2 (mean, 6.4 vs. 2.8) days; P = 0.0001) and median operating times (150 vs. 95 (mean, 142 vs. 115) minutes; P = 0.02) were significantly higher in the converted group, but there was no difference in the complication (P = 0.8), readmission (P = 1), or reoperation (P = 0.7) rates. Compared with open colectomy, the operating time (P = 0.02) was significantly higher in the converted group but there were no significant differences in the length of stay (P = 0.18), complication (P = 1), readmission (P = 0.35), or reoperative (P = 1) rates.
CONCLUSIONS:</abstract><cop>Secaucus, NJ</cop><pub>The ASCRS</pub><pmid>15793638</pmid><doi>10.1007/s10350-004-0941-0</doi><tpages>7</tpages></addata></record> |
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| ispartof | Diseases of the colon & rectum, 2005-05, Vol.48 (5), p.975-981 |
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| subjects | Biological and medical sciences Body Mass Index Chi-Square Distribution Colectomy - methods Digestive system. Abdomen Endoscopy Female Health Care Costs - statistics & numerical data Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Length of Stay - statistics & numerical data Male Medical sciences Metabolic diseases Middle Aged Obesity Obesity - complications Postoperative Complications - epidemiology Prospective Studies Statistics, Nonparametric Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Is Laparoscopic Colectomy Applicable to Patients With Body Mass Index >30? A Case-Matched Comparative Study With Open Colectomy |
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