Evidence map›Paper›PMID 42136512›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2026

Early post-operative outcomes in adults undergoing minimally invasive versus open emergency colorectal surgery: A retrospective cohort study of the ACS-NSQIP 2016-2022.

Tyler McKechnie, Sara Keshavjee, Victoria Shi, Olivia Kuszaj, Sahaar Rattansi, Dennis Hong, Aristithes Doumouras, Cagla Eskicioglu

Abstract readComparative Study
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Emergency minimally invasive colectomy: Approach or reconstructive strategy?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tyler McKechnieDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-7668-4096
Sara KeshavjeeDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-3516-6417
Victoria ShiMichael De Groote School of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0009-0001-2102-1498
Olivia KuszajDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Sahaar RattansiDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Dennis HongDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Aristithes DoumourasDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Cagla EskiciogluDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-3920-066X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimMinimally invasive surgery (MIS) has become common practice in elective colectomy; however, in emergent settings, this is less common and requires further research on safety and efficacy. The aim of this study was to compare MIS and open approaches for emergency colectomy.

methodAdults who underwent emergency colectomy for diverticular disease, colorectal malignancy or inflammatory bowel disease between 2016 and 2022 were identified in the American College of Surgeons National Surgical Quality Improvement Program. The primary outcome was overall 30-day post-operative major morbidity-a composite outcome that included variables such as mortality and venous thromboembolism. Secondary outcomes were 30-day post-operative mortality, septic complications, wound complications and length of stay (LOS). Multivariable regression models were fit for each outcome.

resultsIn total, 82,142 patients were identified who underwent emergency colectomy, of which 24,050 patients underwent MIS (29.4%). In total, 27,206 patients (33.1%) experienced the primary outcome of overall in-hospital post-operative morbidity, with significantly more patients in the open group experiencing this outcome (39.3% vs. 18.3%, odds ratio [OR] 0.57, 95% confidence intervals [CI] 0.54-0.59, p < 0.001). MIS patients had significantly lower risk of mortality (OR 0.54, 95% CI 0.48-0.60), septic complications (OR 0.57, 95% CI 0.54-0.61) and wound complications (OR 0.53, 95% CI 0.51-0.56). Post-operative LOS was 2.22 days shorter in the MIS group (95% CI -2.32 to -2.13, p < 0.001).

conclusionEmergency colectomy via MIS is associated with a decreased risk of post-operative morbidity and mortality as compared to open surgery. While MIS is increasingly prevalent in elective settings, these data illustrate potential benefits in the emergent setting.

Indexed as

ColectomyMinimally Invasive Surgical ProceduresPostoperative ComplicationsAcute Care SurgeryAdultAgedColorectal NeoplasmsEmergenciesFemaleHumansInflammatory Bowel DiseasesLength of StayMaleMiddle AgedRetrospective StudiesTreatment Outcomecolectomycolorectal surgeryemergency surgeryminimally invasive surgery

Identifiers

PMID42136512
PMCPMC13176893

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.