Table 2.
Characteristics and details of surgery of 246 469 patients undergoing a colorectal resection in English NHS trusts between 1 April 2000 and 31 March 2008. Values are numbers (percentages) of patients unless stated otherwise
| Elective surgery | Emergency surgery (n=87 472) | |||
|---|---|---|---|---|
| Laparoscopic (n=10 131) | Open approach (n=148 716) | P value of difference | ||
| Resection type: | ||||
| Right sided | 3627 (35.8) | 42 229 (28.4) | <0.001 | 34 962 (40.0) |
| Left sided | 2237 (22.1) | 36 085 (24.3) | 34 825 (39.8) | |
| Rectal | 3836 (37.9) | 59 479 (40.0) | 5604 (6.4) | |
| Total colectomy | 431 (4.3) | 10 923 (7.3) | 12 081 (13.8) | |
| Diagnosis: | ||||
| Colorectal cancer | 6673 (65.9) | 104 352 (70.2) | <0.001 | 33 493 (38.3) |
| Inflammatory bowel disease | 758 (7.5) | 10 684 (7.2) | 9201 (10.5) | |
| Diverticular disease | 1051 (10.4) | 13 063 (8.8) | 18 915 (21.6) | |
| Other | 1649 (16.3) | 20 617 (13.9) | 25 863 (29.6) | |
| Age (years): | ||||
| 17–54 | 1957 (19.3) | 25 568 (17.2) | <0.001 | 20 021 (22.9) |
| 55–69 | 3409 (33.6) | 51 536 (34.7) | 23 909 (27.3) | |
| 70–79 | 3096 (30.6) | 48 221 (32.4) | 24 582 (28.1) | |
| >79 | 1669 (16.5) | 23 391 (15.7) | 18 960 (21.7) | |
| Charlson score: | ||||
| 0 | 6908 (68.2) | 96 658 (65.0) | <0.001 | 54 581 (62.4) |
| 1–4 | 1172 (11.6) | 13 665 (9.2) | 8312 (9.5) | |
| ≥5 | 2051 (20.2) | 38 393 (25.8) | 24 579 (28.1) | |
| Carstairs deprivation index*: | n=10 126 | n=148 585 | n=87 417 | |
| 1 (least deprived) | 2285 (22.6) | 29 107 (19.6) | <0.001 | 15 225 (17.4) |
| 2 | 2456 (24.2) | 34 589 (23.3) | 18 221 (20.8) | |
| 3 | 2216 (21.9) | 32 694 (22.0) | 18 932 (21.6) | |
| 4 | 1770 (17.5) | 28 910 (19.4) | 18 427 (21.1) | |
| 5 (most deprived) | 1398 (13.8) | 23 285 (15.7) | 16 612 (19.0) | |
| Sex: | ||||
| Men | 4920 (48.6) | 79 234 (53.3) | <0.001 | 40 819 (46.7) |
| Women | 5211 (51.4) | 69 482 (46.7) | 46 653 (53.3) | |
*Social deprivation status not recorded for 55 emergency patients and 137 elective patients (6 laparoscopic and 131 open approach).