Table 3:
Characteristics of cases that were approached laparoscopically by stage of disease.
| 1R (N=346) | 2R (N=54) | >2R (N=29) | p-value | |
|---|---|---|---|---|
| Patient and Disease Characteristics | ||||
|
| ||||
| Male (%) | 252 (72.8) | 34 (63.0) | 15 (51.7) | 0.03 |
|
| ||||
| Age (median [IQR]) | 31 [24, 46] | 40 [30, 52] | 43 [35, 53] | <0.001 |
|
| ||||
| BMI (median [IQR]) | 22.5 [19.7, 26.0] | 23.4 [20.1, 26.5] | 20.8 [18.7, 23.1] | 0.03 |
|
| ||||
| ASA ≥ 3 (%) | 98 (28.4) | 14 (25.9) | 12 (41.4) | 0.29 |
|
| ||||
| Smoker (%) | <0.001 | |||
| Never | 319 (92.2) | 43 (79.6) | 18 (62.1) | |
| Former | 16 (4.6) | 7 (13.0) | 9 (31.0) | |
| Current | 11 (3.2) | 4 (7.4) | 2 (6.9) | |
|
| ||||
| Indication (%) | 0.75 | |||
| Obstruction | 259 (74.9) | 43 (79.6) | 22 (75.9) | |
| Abscess | 64 (18.5) | 7 (13.0) | 5 (17.2) | |
| Fistula | 9 (2.6) | 3 (5.6) | 1 (3.4) | |
| Dysplasia | 8 (2.3) | 0 (0.0) | 0 (0.0) | |
| Failure of medical therapy | 3 (0.9) | 0 (0.0) | 0 (0.0) | |
| Other* | 3 (0.9) | 1 (1.9) | 1 (3.4) | |
|
| ||||
| Phenotype (%) | 0.19 | |||
| Inflammatory | 13 (3.8) | 1 (1.9) | 1 (3.4) | |
| Stricture | 193 (55.8) | 39 (73.6) | 18 (62.1) | |
| Penetrating | 140 (40.5) | 13 (24.1) | 10 (34.5) | |
|
| ||||
| History of other abdominal surgery (%) | 50 (14.5) | 16 (29.6) | 8 (27.6) | 0.007 |
|
| ||||
| Perioperative steroids (%) | 43 (12.4) | 12 (22.2) | 4 (13.8) | 0.15 |
|
| ||||
| Perioperative biologics (%) | 46 (13.3) | 9 (16.7) | 5 (17.2) | 0.70 |
|
| ||||
| Operative Characteristics | ||||
|
| ||||
| Emergency surgery (%) | 4 (1.2) | 2 (3.7) | 0 (0.0) | 0.22 |
|
| ||||
| Extended ICR** (%) | 31 (9.0) | 2 (3.7) | 1 (3.4) | 0.27 |
|
| ||||
| Concurrent procedures (%) | 176 (50.9) | 27 (50.0) | 14 (48.3) | 0.96 |
|
| ||||
| Conversion (%) | 32 (9.2) | 5 (9.3) | 3 (10.3) | 0.98 |
|
| ||||
| Diverting stoma (%) | 12 (3.5) | 2 (3.7) | 1 (3.4) | 1.00 |
|
| ||||
| Duration, minutes (median [IQR]) | 120 [94, 155] | 139 [100, 171] | 137 [98, 195] | 0.02 |
|
| ||||
| Postoperative Outcomes | ||||
|
| ||||
| Length of stay, days (median [IQR]) | 5 [4, 7] | 5 [4, 6] | 6 [4, 9] | 0.38 |
|
| ||||
| Any complication (%) | 45 (13.0) | 10 (18.5) | 4 (13.8) | 0.55 |
|
| ||||
| Major complication (%) | 11 (3.2) | 3 (5.6) | 0 (0.0) | 0.55 |
|
| ||||
| 30-day readmission (%) | 11 (3.2) | 1 (1.9) | 1 (3.4) | 1.00 |
|
| ||||
| Reoperation (%) | 9 (2.6) | 0 (0.0) | 0 (0.0) | 0.80 |
*
Perforation, toxic megacolon, hemorrhage, recurrent appendicitis
**
Any additional distal bowel margin beyond the cecum