ArticleSurgical endoscopy2026
Propensity-score-matched 30-day outcomes of laparoscopic compared to open colectomy in patients with severe chronic obstructive pulmonary disease: an ACS-NSQIP cohort analysis.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe safety of laparoscopic colectomy in patients with severe chronic obstructive pulmonary disease (COPD) remains unclear. This study compared short-term outcomes of laparoscopic and open colectomy in patients with severe COPD using a large national cohort.
methodsA retrospective cohort analysis of ACS-NSQIP data from 2011 to 2020 included adult patients with severe COPD undergoing elective colectomy for colorectal cancer, diverticulitis, or ulcerative colitis. A 1:1 propensity-score matching was performed based on significant baseline confounders. Primary outcomes were 30-day mortality and cardiopulmonary complications; secondary outcomes included other complications, readmission, return to the OR, length of stay, and operative time. A multivariable binary logistic regression of the unmatched cohort was performed to determine the independent predictors of 30-day mortality.
resultsOut of 7,962 eligible patients with severe COPD, 61.5% underwent laparoscopic colectomy. After matching, 3,019 patients were included in each group. Laparoscopic colectomy was associated with lower rates of 30-day mortality (2.3 vs. 3.4%, p=0.011), unplanned intubation (3.3 vs. 4.7%, p=0.007), pneumonia (4.7 vs. 6.9%, p<0.001), ventilator use ≥ 48 h (2.0 vs. 4.2%, p<0.001), and myocardial infarction (0.9 vs. 1.6%, p=0.026). Laparoscopy was associated with shorter stay (median 5 vs. 7 days) and lower rates of wound complications, sepsis, anastomotic leak, readmission, and reoperation. In the adjusted analysis, laparoscopy was independently associated with reduced 30-day mortality (OR: 0.65, 95%CI 0.47-0.90, p=0.008).
conclusionsLaparoscopic colectomy was likely safe in patients with severe COPD and was associated with significant reductions in 30-day mortality, cardiopulmonary, infectious, and surgical complications, and shorter hospitalization.
Indexed as
Identifiers
42754632What OpenQuestion holds
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.