Back to Search
Start Over
Laparoscopic Surgery Requiring Abdominal Insufflation in Patients With Congenital Heart Disease
- Source :
- Journal of Cardiothoracic and Vascular Anesthesia. 36:707-712
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- To determine if patients with congenital heart disease are undergoing laparoscopic surgery requiring abdominal insufflation and to compare the outcomes of these procedures with those who underwent an open surgical approach.This was a retrospective study using the National Inpatient Sample from 2006 to 2014. Individuals with congenital heart disease who underwent at least one of six selected surgical procedures (laparoscopic or open) were included in the study. Subgroup analysis was performed on patients with Fontan palliation.The primary outcome was to determine the frequency with which congenital heart disease patients undergo laparoscopic surgery requiring abdominal insufflation compared with open surgery. Secondary outcomes included all-cause in-hospital mortality and in-hospital length of stay. Of the 5,527 patients included, nearly half underwent laparoscopic surgery (46.3%), and 128 (2.3%) had single-ventricle circulation. All-cause mortality was significantly higher for those who underwent open surgery compared with the laparoscopic approach (3.6% v 0.9%; odds ratio [OR], 4.0 [2.6-6.3]; p0.0001). Subgroup analysis of patients with Fontal palliation older than five years showed 30 (42%) underwent laparoscopic surgery and there was no mortality difference between the laparoscopic and open approaches (OR, 1.4 [0.2-21.3], p = 0.8). Length of stay was significantly shorter for patients undergoing laparoscopic compared with open surgery (median three days [interquartile range, two-five] v six days [three-13], p0.0001).Individuals with congenital heart disease are being offered laparoscopic surgery that requires abdominal insufflation. All-cause mortality and length of stay were higher for patients who underwent open surgical operations.
- Subjects :
- Heart Defects, Congenital
Laparoscopic surgery
Insufflation
medicine.medical_specialty
Heart disease
medicine.medical_treatment
Subgroup analysis
030204 cardiovascular system & hematology
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
030202 anesthesiology
Humans
Medicine
In patient
Hospital Mortality
Retrospective Studies
business.industry
Open surgery
Retrospective cohort study
Odds ratio
Length of Stay
medicine.disease
Surgery
Treatment Outcome
Anesthesiology and Pain Medicine
Laparoscopy
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 10530770
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiothoracic and Vascular Anesthesia
- Accession number :
- edsair.doi.dedup.....7989d349af2632830855c489e117d463