ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2008
Laparoscopic vs open colectomy for colon cancer: results from a large nationwide population-based analysis.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.
- Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis.World journal of surgical oncology · 2017Pooled it
- A meta-analysis of short-term outcome of laparoscopic surgery versus conventional open surgery on colorectal carcinoma.Medicine · 2017Pooled it
- Evidence based medicine and surgical approaches for colon cancer: evidences, benefits and limitations of the laparoscopic vs open resection.World journal of gastroenterology · 2014Pooled it
- Fast-track rehabilitation vs conventional care in laparoscopic colorectal resection for colorectal malignancy: a meta-analysis.World journal of gastroenterology · 2013Pooled it
- Fast-track rehabilitation program vs conventional care after colorectal resection: a randomized clinical trial.World journal of gastroenterology · 2011Trial
- Laparoscopic sigmoid colectomy with primary anastomosis for experimental modeling in the nonhuman primate.Annals of translational medicine · 2024Article
- Surgical and Oncological Outcome of Laparoscopic Resection of Colorectal Cancers: A Single-Center Experience.Cureus · 2024Article
- Preoperative stents for the treatment of obstructing left-sided colon cancer: a national analysis.Surgical endoscopy · 2023Article
- Ureteral injuries in colorectal surgery and the impact of laparoscopic and robotic-assisted approaches.Surgical endoscopy · 2021Article
- Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.PloS one · 2021Article
- Observational
- Comparison of outcome and cost between the open, laparoscopic, and robotic surgical treatments for colon cancer: a propensity score-matched analysis using nationwide hospital record database.Surgical endoscopy · 2019Article
- Comparison of Oncologic Outcomes in Laparoscopic versus Open Surgery for Non-Metastatic Colorectal Cancer: Personal Experience in a Single Institution.Journal of clinical medicine · 2019Article
- Minimally invasive surgery for colorectal cancer remains underutilized in Germany despite its nationwide application over the last decade.Scientific reports · 2018Article
- Long-term oncologic outcomes after laparoscopic vs. open colon cancer resection: a high-quality population-based analysis in a Southern German district.Surgical endoscopy · 2018Observational
- Laparoscopy may decrease morbidity and length of stay after elective colon cancer resection, especially in frail patients: results from an observational real-life study.Surgical endoscopy · 2017Observational
- Patient, Hospital, and Geographic Disparities in Laparoscopic Surgery Use Among Surveillance, Epidemiology, and End Results-Medicare Patients With Colon Cancer.Diseases of the colon and rectum · 2017Observational
- Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database.Scientific reports · 2017Article
- Real-world cost-effectiveness of laparoscopy versus open colectomy for colon cancer: a nationwide population-based study.Surgical endoscopy · 2017Article
- Short-term outcomes of laparoscopic versus open total colectomy with ileorectal anastomosis: a case-matched analysis from a nationwide database.Techniques in coloproctology · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic colectomy has only recently become an accepted technique for the treatment of colon cancer. We sought to analyze factors that affect the type of resection performed and associated outcomes from a large nationwide database.
methodsAll admissions with a primary diagnosis of colon cancer undergoing elective resection were selected from the 2003 and 2004 Nationwide Inpatient Samples. Multiple linear and logistic regression analyses were used to compare outcome measures and identify independent predictors of a laparoscopic approach.
resultsWe identified 98,923 admissions (mean age 69.2 years). They were predominately Caucasian (81%), had localized disease (63%), had private insurance (56%), and had surgery performed in urban hospitals (87%). Laparoscopic resection was performed in 3,296 cases (3.3%) and was associated with a lower complication rate (18% vs 22%), shorter length of stay (6 vs 7.6 days), decreased need for skilled aftercare (5% vs 11%), and lower mortality (0.6% vs 1.4%, all P<0.01). There was no significant difference in the total hospital charges between the groups ($34,685 vs $34,178, P=0.19). Independent predictors of undergoing laparoscopic resection were age<70 (odds ratio [OR]=1.2, P<0.01), national region (Midwest OR=1.9, West OR=2.0, P<0.01), and lower disease stage (OR=2.5, P<0.01). Ethnic category and insurance status showed no significant association with operative method (P>0.05).
conclusionsLaparoscopy for colon cancer is associated with improved outcomes in unadjusted analysis and similar charges compared to open resection. We found no influence of race or payer status on the utilization of a laparoscopic approach.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.