Table 3.
Postoperative outcomes of patients undergoing open or laparoscopic approach for gastrointestinal tract perforation.
| Baseline population | After propensity score matching | |||||
|---|---|---|---|---|---|---|
| Postoperative outcomes | All patients (n=470) | Open (n=355) | Laparoscopy (n=115) | P value* | Open (n=115) | P value* |
| Hospital stays | ||||||
| Total days, median (IQR) | 9 (6–13.2) | 12 (7–20) | 6 (5–8.5) | <0.001 | 11 (7–17) | <0.001 |
| 30-day morbidity | ||||||
| Patients who developed morbidity events, n (%) | 238 (50.6) | 211 (59.4) | 27 (23.5) | <0.001 | 52 (45.2) | <0.001 |
| Postoperative complications, n (%) | ||||||
| Anastomotic leak / dehiscence | 42 (8.9) | 33 (9.3) | 9 (7.8) | 0.77 | 9 (7.8) | 1.0 |
| Wound dehiscence | 38 (8.1) | 36 (10.1) | 2 (1.7) | 0.007 | 9 (7.8) | 0.06 |
| Cardiac failure | 37 (7.9) | 34 (9.6) | 3 (2.6) | 0.03 | 7 (6.1) | 0.33 |
| Fever / pyrexia of unknown origin | 24 (5.1) | 22 (6.2) | 2 (1.7) | 0.10 | 7 (6.1) | 0.17 |
| Wound haemorrhage | 7 (1.5) | 6 (1.7) | 1 (0.9) | 0.85 | 1 (0.9) | 1.0 |
| Deep wound haemorrhage | 8 (1.7) | 7 (2.0) | 1 (0.9) | 0.70 | 2 (1.7) | 1.0 |
| Hypotension | 53 (11.3) | 44 (12.4) | 9 (7.8) | 0.24 | 10 (8.7) | 1.0 |
| Wound infection | 67 (14.3) | 62 (17.5) | 5 (4.3) | <0.001 | 13 (11.3) | 0.09 |
| Deep wound infection | 57 (12.1) | 45 (12.7) | 12 (10.4) | 0.63 | 11 (9.6) | 1.0 |
| Chest infection | 35 (7.4) | 32 (9.0) | 3 (2.6) | 0.04 | 9 (7.8) | 0.14 |
| Urinary tract infection | 9 (1.9) | 8 (2.3) | 1 (0.9) | 0.58 | 2 (1.7) | 1.0 |
| Renal failure | 57 (12.1) | 54 (15.2) | 3 (2.6) | <0.001 | 9 (7.8) | 0.14 |
| Respiratory failure | 73 (15.5) | 68 (19.2) | 5 (4.3) | <0.001 | 16 (13.9) | 0.022 |
| Septicaemia | 40 (8.5) | 36 (10.1) | 4 (3.5) | 0.04 | 12 (10.4) | 0.07 |
| Deep vein thrombosis, pulmonary embolism | 5 (1.1) | 4 (1.1) | 1 (0.9) | 1.0 | 0 | 1.0 |
| 30-day mortality | ||||||
| Patients who died, n (%) | 59 (12.6) | 57 (16.1) | 2 (1.7) | <0.001 | 12 (10.4) | 0.013 |
Open vs. Laparoscopic.
IQR, interquartile range.