ArticleSurgical endoscopy2016
The current status of emergent laparoscopic colectomy: a population-based study of clinical and financial outcomes.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 32 citations in OpenAlex.
- Laparoscopic versus open emergency colonic resection for obstruction: a multicentre retrospective cohort study.BMC surgery · 2026Observational
- Non-elective colectomy for diverticulitis in the U.S.: a retrospective comparison of robotic, laparoscopic, and open approaches.World journal of emergency surgery : WJES · 2026Article
- Propensity score matching analysis of acute care (ACS) versus colorectal surgeons (CRS) in the management of left colonic perforation: Patient and system-level insights from a multicenter study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Efficacy of a Laparoscopic Approach in Treating Gangrenous Ischemic Colitis: A Case Report.Surgical case reports · 2026Article
- Minimally invasive approach to peritonitis from left colonic perforation: a retrospective multicenter observational study.Surgical endoscopy · 2025Observational
- National analysis of racial disparities in emergent surgery for colorectal cancer.Surgery open science · 2024Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Preoperative stents for the treatment of obstructing left-sided colon cancer: a national analysis.Surgical endoscopy · 2023Article
- The role of laparoscopy in emergency colorectal surgery.Saudi medical journal · 2022Article
- Laparoscopic versus open emergent colectomy for ischemic colitis: a propensity score-matched comparison.World journal of emergency surgery : WJES · 2022Article
- Laparoscopic Versus Open Colorectal Surgery in the Emergency Setting: A Systematic Review and Meta-analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Are we ready for bundled payments for major bowel surgery?Surgical endoscopy · 2020Article
- Laparoscopy improves failure to rescue compared to open surgery for emergent colectomy.Updates in surgery · 2020Article
- Predictors of mortality following emergency open colectomy for ischemic colitis: a single-center experience.World journal of emergency surgery : WJES · 2020Article
- Minimally Invasive Treatment of Sporadic Burkitt's Lymphoma Causing Ileocaecal Invagination.Case reports in surgery · 2018Article
- 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
- A new perspective on the value of minimally invasive colorectal surgery-payer, provider, and patient benefits.Surgical endoscopy · 2017Article
- Minimally Invasive Surgery is Associated with Improved Outcomes Following Urgent Inpatient Colectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Economic Impact of Laparoscopic Conversion to Open in Left Colon Resections.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPopulation-based studies evaluating laparoscopic colectomy and outcomes compared with open surgery have concentrated on elective resections. As such, data assessing non-elective laparoscopic colectomies are limited. Our goal was to evaluate the current usage and outcomes of laparoscopic in the urgent and emergent setting in the USA.
methodsA national inpatient database was reviewed from 2008 to 2011 for right, left, and sigmoid colectomies in the non-elective setting. Cases were stratified by approach into open or laparoscopic groups. Demographics, perioperative clinical variables, and financial outcomes were compared across each group.
resultsA total of 22,719 non-elective colectomies were analyzed. The vast majority (95.8 %) was open. Most cases were performed in an urban setting at non-teaching hospitals by general surgeons. Colorectal surgeons were significantly more likely to perform a case laparoscopic than general surgeons (p < 0.001). Demographics were similar between open and laparoscopic groups; however, the disease distribution by approach varied, with significantly more severe cases in the open colectomy arm (p < 0.001). Cases performed laparoscopically had significantly better mortality and complication rates. Laparoscopic cases also had significantly improved outcomes, including shorter length of stay and hospital costs (all p < 0.001).
conclusionsOur analysis revealed less than 5 % of urgent and emergent colectomies in the USA are performed laparoscopically. Colorectal surgeons were more likely to approach a case laparoscopically than general surgeons. Outcomes following laparoscopic colectomy in this setting resulted in reduced length of stay, lower complication rates, and lower costs. Increased adoption of laparoscopy in the non-elective setting should be considered.
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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.