Published in:
Open Access
01-12-2015 | Research
Comparison of clinical outcome between laparoscopic and open right hemicolectomy: a nationwide study
Authors:
Cha-Ze Lee, Li-Ting Kao, Herng-Ching Lin, Po-Li Wei
Published in:
World Journal of Surgical Oncology
|
Issue 1/2015
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Abstract
Background
This study aimed to compare clinical outcome between laparoscopic and open right hemicolectomy.
Methods
The data were sourced from Taiwan’s National Health Insurance Research Database. This study included 14,320 and 1313 patients who underwent open and laparoscopic right hemicolectomies, respectively. The study outcome included “intensive care unit (ICU) admission,” “over 2 h of general anesthesia,” “use of mechanical ventilation,” “acute respiratory failure,” “in-hospital death,” and “hospitalization for pneumonia.” Separate conditional logistic regressions were performed for each clinical outcome.
Results
The results showed that patients who underwent an open right hemicolectomy had significantly higher likelihood of ICU admission (31.4 vs. 13.4 %, p < 0.001), acute respiratory failure (3.6 vs. 0.8 %, p < 0.001), mechanical ventilation (12.8 vs. 4.1 %, p < 0.001), in-hospital death (3.7 vs. 0.9 %, p < 0.001), over 2 h of general anesthesia (4.6 vs. 1.2 %, p < 0.001), and hospitalization for pneumonia (5.8 vs. 3.1 %, p < 0.001) than patients who underwent a laparoscopic right hemicolectomy. Adjusted conditional logistic regression analyses revealed that patients who underwent an open right hemicolectomy were 2.96, 4.98, 3.41, 4.01, 3.44, and 1.78 times more likely to be admitted to the ICU, to have acute respiratory failure, the use of mechanical ventilation, in-hospital death, over 2 h of general anesthesia, and hospitalization for pneumonia, respectively, than patients who underwent a laparoscopic right hemicolectomy.
Conclusions
Laparoscopic right hemicolectomy reduced risk of post-operative pulmonary complications.