Table 1:
1R (N=369) | ≥2R (N=105) | p-value | |
---|---|---|---|
Patient and Disease Characteristics | |||
| |||
Male (%) | 264 (71.5) | 67 (63.8) | 0.16 |
| |||
Age (median [IQR]) | 31 [24, 46] | 43 [31, 54] | <0.001 |
| |||
BMI (median [IQR]) | 22.3 [19.7, 25.8] | 22.0 [19.5, 26.0] | 0.68 |
| |||
ASA ≥ 3 (%) | 108 (29.3) | 39 (37.1) | 0.16 |
| |||
Smoker (%) | <0.001 | ||
Never | 340 (92.1) | 77 (73.3) | |
Former | 17 (4.6) | 18 (17.1) | |
Current | 12 (3.3) | 10 (9.5) | |
| |||
Indication for surgery (%) | 0.69 | ||
Obstruction | 272 (73.7) | 80 (76.2) | |
Abscess | 68 (18.4) | 17 (16.2) | |
Fistula | 11 (3.0) | 4 (3.8) | |
Dysplasia | 8 (2.2) | 0 (0.0) | |
Failure of medical therapy | 5 (1.4) | 2 (1.9) | |
Other* | 5 (1.4) | 2 (1.9) | |
| |||
Phenotype (%) | 0.21 | ||
Inflammatory | 14 (3.8) | 3 (2.9) | |
Stricturing | 202 (54.7) | 67 (64.4) | |
Penetrating | 153 (41.5) | 34 (32.4) | |
| |||
History of other abdominal surgery (%) | 55 (14.9) | 28 (26.7) | 0.01 |
| |||
Perioperative steroids (%) | 45 (12.2) | 17 (16.2) | 0.36 |
| |||
Perioperative biologics (%) | 50 (13.6) | 18 (17.1) | 0.44 |
| |||
Operative Characteristics | |||
| |||
Emergency surgery (%) | 9 (2.4) | 3 (2.9) | 0.73 |
| |||
Extended ICR** (%) | 37 (10.0) | 3 (2.9) | 0.02 |
| |||
Concurrent procedures (%) | 195 (52.8) | 59 (56.2) | 0.62 |
| |||
Approach (%) | <0.001 | ||
Laparoscopic | 314 (85.1) | 75 (71.4) | |
Converted | 32 (8.7) | 8 (7.6) | |
Open | 23 (6.2) | 22 (21.0) | |
| |||
Diverting stoma (%) | 16 (4.3) | 5 (4.8) | 0.79 |
| |||
Duration, minutes (median [IQR]) | 120 [94, 157] | 145 [101, 206] | <0.001 |
| |||
Postoperative Outcomes | |||
| |||
Length of stay, days (median [IQR]) | 5 [4, 7] | 6 [5, 9] | 0.02 |
| |||
Any complication (%) | 52 (14.1) | 21 (20.0) | 0.19 |
| |||
Major complication (%) | 14 (3.8) | 4 (3.8) | 0.56 |
| |||
30-day readmission (%) | 14 (3.8) | 3 (2.9) | 0.77 |
| |||
Reoperation (%) | 11 (3.0) | 0 (0.0) | 0.13 |
Perforation, toxic megacolon, hemorrhage, recurrent appendicitis
Any additional distal bowel margin beyond the cecum