TABLE 3.
30-Day Post-Operative Outcomes for Crohn’s Disease Patient’s Undergoing MIS Resection
| Outcome (%) | Crohn’s Laparoscopic 3,282 (86.8) |
Crohn’s Robotic 500 (13.2) |
p-value |
|---|---|---|---|
| Overall morbiditya | 459 (14.0) | 82 (16.4) | 0.151 |
| Serious morbidityb | 239 (7.3) | 56 (11.2) | 0.002 |
| Anastomotic leak | 73 (2.4) | 9 (2.2) | 0.850 |
| Wound infection | 100 (3.1) | 12 (2.4) | 0.427 |
| Organ space SSI | 144 (4.4) | 40 (8.0) | <0.001 |
| Pneumonia | 25 (0.76) | 5 (1.0) | 0.585 |
| UTI | 24 (0.73) | 9 (1.8) | 0.033 |
| VTE | 49 (1.5) | 5 (1.0) | 0.387 |
| Cardiac | 11 (0.34) | 1 (0.2) | 0.999 |
| Shock/sepsis | 78 (2.4) | 21 (4.2) | 0.017 |
| Unplanned intubation | 8 (0.24) | 1 (0.2) | 0.999 |
| Bleeding requiring transfusion | 154 (4.7) | 19 (3.8) | 0.374 |
| Renal complications | 11 (0.34) | 4 (0.80) | 0.126 |
| On ventilator >24hrs | 9 (0.27) | 2 (0.40) | 0.647 |
| Unplanned conversion to open | 121 (3.7) | 8 (1.6) | 0.017 |
| Ileus | 302 (9.9) | 40 (10.0) | 0.971 |
| Readmission | 310 (9.5) | 59 (11.8) | 0.098 |
| Reoperation | 109 (3.3) | 17 (3.4) | 0.927 |
| Mortality | 3 (0.1) | 1 (0.2) | 0.433 |
| Operative time, median (IQR) | 152 (116, 204) | 228 (175,304) | <0.001 |
| LOS, median (IQR) | 4 (3–6) | 3 (2–5) | <0.001 |
a
Overall morbidity: Wound infection, pneumonia, urinary tract infection, VTE, cardiac complication, shock/sepsis, unplanned intubation, bleeding transfusion, renal complication, on ventilator >48 hours, organ space SSI, and anastomotic leak.
b
Serious morbidity: Clavien-Dindo III-IV (cardiac complication, shock/sepsis, unplanned intubation, renal complication, on ventilator >48 hours, organ space SSI, and reoperation)
Abbreviations: MIS, Minimally Invasive Surgery; SSI, Surgical Site Infection; UTI, Urinary Tract Infection; VTE, Venous Thromboembolism; IQR, Interquartile Range; LOS, length of stay.