https://scholars.lib.ntu.edu.tw/handle/123456789/545834
標題: | Comparison of clinical outcome between laparoscopic and open right hemicolectomy: A nationwide study | 作者: | Lee, Cha-Ze Kao L.-T. Lin H.-C. Wei P.-L. |
關鍵字: | Hemicolectomy; Laparoscopic; Outcome measures | 公開日期: | 2015 | 出版社: | BioMed Central Ltd. | 卷: | 13 | 期: | 1 | 來源出版物: | World Journal of Surgical Oncology | 摘要: | Background: This study aimed to compare clinical outcome between laparoscopic and open right hemicolectomy. Methods: The data were sourced from Taiwan's National Health Insurance Research Database. This study included 14,320 and 1313 patients who underwent open and laparoscopic right hemicolectomies, respectively. The study outcome included "intensive care unit (ICU) admission," "over 2 h of general anesthesia," "use of mechanical ventilation," "acute respiratory failure," "in-hospital death," and "hospitalization for pneumonia." Separate conditional logistic regressions were performed for each clinical outcome. Results: The results showed that patients who underwent an open right hemicolectomy had significantly higher likelihood of ICU admission (31.4 vs. 13.4 %, p < 0.001), acute respiratory failure (3.6 vs. 0.8 %, p < 0.001), mechanical ventilation (12.8 vs. 4.1 %, p < 0.001), in-hospital death (3.7 vs. 0.9 %, p < 0.001), over 2 h of general anesthesia (4.6 vs. 1.2 %, p < 0.001), and hospitalization for pneumonia (5.8 vs. 3.1 %, p < 0.001) than patients who underwent a laparoscopic right hemicolectomy. Adjusted conditional logistic regression analyses revealed that patients who underwent an open right hemicolectomy were 2.96, 4.98, 3.41, 4.01, 3.44, and 1.78 times more likely to be admitted to the ICU, to have acute respiratory failure, the use of mechanical ventilation, in-hospital death, over 2 h of general anesthesia, and hospitalization for pneumonia, respectively, than patients who underwent a laparoscopic right hemicolectomy. Conclusions: Laparoscopic right hemicolectomy reduced risk of post-operative pulmonary complications. ? 2015 Lee et al. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939137648&doi=10.1186%2fs12957-015-0666-7&partnerID=40&md5=d5ff7c50a6b58d1e123d1e903b1962b5 https://scholars.lib.ntu.edu.tw/handle/123456789/545834 |
ISSN: | 1477-7819 | DOI: | 10.1186/s12957-015-0666-7 | SDG/關鍵字: | acute respiratory failure; adult; Article; artificial ventilation; colon cancer; controlled study; female; gender; general anesthesia; groups by age; hemicolectomy; hospital admission; human; intensive care unit; laparoscopic surgery; major clinical study; male; middle aged; mortality; pneumonia; risk reduction; treatment outcome; young adult; adolescent; colon resection; Colonic Neoplasms; comparative study; follow up; laparoscopy; length of stay; postoperative complication; procedures; prognosis; Taiwan; time factor; Adolescent; Adult; Colectomy; Colonic Neoplasms; Female; Follow-Up Studies; Humans; Intensive Care Units; Laparoscopy; Length of Stay; Male; Middle Aged; Postoperative Complications; Prognosis; Taiwan; Time Factors; Young Adult |
顯示於: | 醫學系 |
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