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Open colectomy vs. laparoscopic colectomy in Japan: a retrospective study using real-world data from the diagnosis procedure combination database.
- Source :
- Surgery Today; Oct2020, Vol. 50 Issue 10, p1255-1261, 7p
- Publication Year :
- 2020
-
Abstract
- Purpose: To compare the short-term outcomes of conventional open colectomy with those of laparoscopic colectomy for colon cancer. Methods: We retrieved data between January 2014 and March 2016 from the Diagnosis Procedure Combination database. A total of 69,418 patients who underwent colectomy for colon cancer were analyzed from among 15,901,766 cases of colorectal cancer. We applied a multilevel logistic regression model using a 2-level structure of individuals nested from 1065 hospitals. Results: A total of 22,440 open colectomy and 46,978 laparoscopic colectomy procedures were performed. The in-hospital mortality rate was significantly lower in the laparoscopic group than in the open group (0.28% vs. 0.06%, odds ratio [OR] 0.40, p < 0.001). Similarly, the 30-day postoperative mortality rate (0.14% vs. 0.03%, OR 0.47, p = 0.019) and surgical morbidity rate (43.0% vs. 25.3%, OR 0.47, p < 0.001) were significantly lower in the laparoscopic group than in the open group. The postoperative length of stay was significantly longer in the open group (mean difference − 5.6 days, p < 0.001) than in the open group. The admission cost was significantly greater in the open group than in the laparoscopic group (mean difference − 95,080 yen, p < 0.001). Conclusions: Laparoscopic colectomy is safe and effective in the short term. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09411291
- Volume :
- 50
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Surgery Today
- Publication Type :
- Academic Journal
- Accession number :
- 145950038
- Full Text :
- https://doi.org/10.1007/s00595-020-02006-6