ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Utilization of Laparoscopic Colon Surgery in the Texas Inpatient Public Use Data File (PUDF).
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.
- Robotic ambulatory colorectal resections: a systematic review.Journal of robotic surgery · 2024Pooled it
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- Comparison of syndromic surveillance and hospital discharge data for unintentional drowning in metropolitan Houston, Texas, USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Healthcare reform: let science, not politics, lead the way.Annals of coloproctology · 2024Article
- Outcomes of thoracic aortic interventions in Marfan syndrome in the state of Texas over 11 years.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- All-cause 30- and 90-day inpatient readmission costs associated with 4 minimally invasive colon surgery approaches: A propensity-matched analysis using Medicare and commercial claims data.Surgery open science · 2022Article
- [Hand-assisted Laparoscopic Surgery: experience with an original technique].Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2022Article
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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
backgroundLaparoscopic surgery has become the standard of care for the most common surgical procedures performed. However, laparoscopic techniques have not reached this same penetrance in colorectal surgery. We wanted to determine the percentage of colon operations performed in Texas that were done via laparoscopic, robotic and open techniques.
methodsThe Texas Inpatient Public Use Data File (PUDF) was queried using ICD-9-CM diagnostic and procedure codes to determine overall utilization of laparoscopic colectomies (LC) in Texas between 2013-14 for reporting facilities. We specifically looked at cost and the length of stay for LC, open colectomy (OC) and robotic assisted colectomy (RAC).
resultsIn the state of Texas between 2013-14 there were 20,454 colectomies performed. Of these 12,328 (60.3%) were OC, 7,536 (36.8%) were LC, and 590 (3.9%) were RAC. Average total cost was $117,113 for OC, $75,741.9 for LC, and $81,996.2 for RAC. Average length of stay for each technique was 10.6 days for OC, 6.1 days for LC, and 5.1 days for RAC. The risk of a postoperative complication occurring was higher in the open procedure than a laparoscopic procedure.
conclusionsLC accounted for only 36.8% of all colectomies performed in Texas between 2013-14. OC costs twice as much as LC and increased the length of stay by nearly 4 d. LC and RAC are both associated with significantly less cost and length of stay for patients undergoing surgery, while lowering perioperative complications. DISCLOSURES: None of the authors have any relevant disclosures.
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