ArticleWorld journal of gastroenterology2015
Laparoscopic vs open partial colectomy in elderly patients: Insights from the American College of Surgeons - National Surgical Quality Improvement Program database.
Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- EAES/SAGES evidence-based recommendations and expert consensus on optimization of perioperative care in older adults.Surgical endoscopy · 2024Guideline
- What have we learned in minimally invasive colorectal surgery from NSQIP and NIS large databases? A systematic review.International journal of colorectal disease · 2018Pooled it
- Development and validation of a risk prediction model for major postoperative adverse events in elderly colon cancer using firth regression: a large-scale retrospective study.Frontiers in oncology · 2026Article
- Redo laparoscopic colorectal resection: a retrospective analysis with propensity score matching.International journal of colorectal disease · 2023Article
- Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison.International journal of environmental research and public health · 2021Review
- Laparoscopic versus open ventral hernia repair in the elderly: a propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Differential short-term outcomes of laparoscopic resection in colon and rectal cancer patients aged 80 and older: an analysis of Nationwide Inpatient Sample.Surgical endoscopy · 2021Article
- The use of emergency laparoscopy for acute abdomen in the elderly: the FRAILESEL Italian Multicenter Prospective Cohort Study.Updates in surgery · 2020Article
- Laparoscopic pancreaticoduodenectomy in elderly patients.Surgical endoscopy · 2020Article
- Safety and feasibility of repeat laparoscopic colorectal resection: a matched case-control study.Surgical endoscopy · 2020Article
- Providing complex GI surgical care with minimally invasive approaches: a survey of the practice patterns of Fellowship Council alumni.Surgical endoscopy · 2020Article
- Surgical approach and geriatric evaluation for elderly patients with colorectal cancer.Updates in surgery · 2019Review
- Laparoscopic colectomy after transcatheter aortic valve implantation in an elderly patient with obstructive descending colon cancer and severe aortic stenosis: a case report.Surgical case reports · 2019Article
- Minimally invasive versus open surgery in the Medicare population: a comparison of post-operative and economic outcomes.Surgical endoscopy · 2018Article
- Comparison of laparoscopic to open pancreaticoduodenectomy in elderly patients with pancreatic adenocarcinoma.Surgical endoscopy · 2018Article
- Role of surgery for colorectal cancer in the elderly.World journal of gastrointestinal surgery · 2016Review
- Two cases of laparoscopic simultaneous resection of colorectal cancer and synchronous liver metastases in elderly patients.International journal of surgery case reports · 2016Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo compare the outcomes between the laparoscopic and open approaches for partial colectomy in elderly patients aged 65 years and over using the American College of Surgeons - National Surgical Quality Improvement Program (ACS NSQIP) database.
methodsThe ACS NSQIP database for the years 2005-2011 was queried for all patients 65 years and above who underwent partial colectomy. 1:1 propensity score matching using the nearest- neighbor method was performed to ensure both groups had similar pre-operative comorbidities. Outcomes including post-operative complications, length of stay and mortality were compared between the laparoscopic and open groups. χ(2) and Fisher's exact test were used for discrete variables and Student's t-test for continuous variables. P < 0.05 was considered significant and odds ratios with 95%CI were reported when applicable.
resultsThe total number of patients in the ACS NSQIP database of the years 2005-2011 was 1777035. We identified 27604 elderly patients who underwent partial colectomy with complete data sets. 12009 (43%) of the cases were done laparoscopically and 15595 (57%) were done with open. After propensity score matching, there were 11008 patients each in the laparoscopic (LC) and open colectomy (OC) cohorts. The laparoscopic approach had lower post-operative complications (LC 15.2%, OC 23.8%, P < 0.001), shorter length of stay (LC 6.61 d, OC 9.62 d, P < 0.001) and lower mortality (LC 1.6%, OC 2.9%, P < 0.001).
conclusionEven after propensity score matching, elderly patients in the ACS NSQIP database having a laparoscopic partial colectomy had better outcomes than those having open colectomies. In the absence of specific contraindications, elderly patients requiring a partial colectomy should be offered the laparoscopic approach.
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