Population-based trend analysis of 2813 patients undergoing laparoscopic sigmoid resection.

Details

Serval ID
serval:BIB_D3B607039C68
Type
Article: article from journal or magazin.
Collection
Publications
Title
Population-based trend analysis of 2813 patients undergoing laparoscopic sigmoid resection.
Journal
British Journal of Surgery
Author(s)
Guller U., Rosella L., Karanicolas P.J., Adamina M., Hahnloser D.
ISSN
1365-2168 (Electronic)
ISSN-L
0007-1323
Publication state
Published
Issued date
2010
Volume
97
Number
1
Pages
79-85
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
BACKGROUND: The use of laparoscopic sigmoid resection for diverticular disease has become increasingly popular. The objective of this trend analysis was to assess whether clinical outcomes following laparoscopic sigmoid resection for diverticular disease have improved over the past 10 years.
METHODS: The analysis was based on the prospective database of the Swiss Association of Laparoscopic and Thoracoscopic Surgery. Some 2813 patients undergoing elective laparoscopic sigmoid resection for diverticular disease from 1995 to 2006 were included. Unadjusted and risk-adjusted analyses were performed.
RESULTS: Over time, there was a significant reduction in the conversion rate (from 27.3 to 8.6 per cent; P(trend) < 0.001), local postoperative complication rate (23.6 to 6.2 per cent; P(trend) = 0.004), general postoperative complication rate (14.6 to 4.9 per cent; P(trend) = 0.024) and reoperation rate (5.5 to 0.6 per cent; P(trend) = 0.015). Postoperative median length of hospital stay significantly decreased from 11 to 7 days (P(trend) < 0.001).
CONCLUSION: This first trend analysis in the literature of clinical outcomes after laparoscopic sigmoid resection, based on almost 3000 patients, has provided compelling evidence that rates of postoperative complications, conversion and reoperation, and length of hospital stay have decreased significantly over the past 10 years.
Keywords
Adult, Aged, Aged, 80 and over, Diverticulum/surgery, Humans, Intraoperative Complications/etiology, Laparoscopy/methods, Middle Aged, Postoperative Complications/etiology, Prospective Studies, Risk Factors, Sigmoid Diseases/surgery, Young Adult
Pubmed
Web of science
Create date
07/10/2014 15:18
Last modification date
20/08/2019 16:53
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