Table 1.
Patient characteristics and outcomes according to surgical approach
Overall | Open | Laparoscopic | p-value | |
---|---|---|---|---|
Patients, N (%) | 6,806 (100.0) | 3,395 (49.9) | 3,411 (50.1) | - |
Age in years, mean ± SD | 68.3 ± 12.8 | 68.6 ± 13.0 | 68.1 ± 12.6 | 0.19 |
Female (%) | 51.1 | 51.9 | 50.3 | 0.19 |
White race (%) | 67.5 | 67.9 | 67.1 | 0.47 |
Medicare (%) | 58.8 | 60.0 | 57.7 | 0.05 |
Medicaid (%) | 2.5 | 3.2 | 1.8 | <0.001 |
Comorbid medical conditions (%)a | <0.001 | |||
No medical co-morbidity | 16.6 | 14.6 | 18.6 | |
1 to 2 conditions | 50.2 | 47.5 | 52.9 | |
3 or more conditions | 33.2 | 37.9 | 28.6 | |
Node positive or metastatic cancer (%) | 27.5 | 32.0 | 23.0 | <0.001 |
Anatomic Resection (%) | <0.001 | |||
Right hemicolectomy | 57.4 | 52.6 | 62.2 | |
Left hemi-colectomy | 31.3 | 32.6 | 30.1 | |
Total or transverse colectomy | 11.3 | 14.9 | 7.7 | |
Patient-level outcomes | ||||
Intra-operative morbidityb | 3.1 | 3.3 | 3.0 | 0.55 |
Post-operative morbidityc | 27.7 | 32.1 | 23.3 | <0.001 |
In-hospital mortality | 1.0 | 1.2 | 0.7 | 0.05 |
Hospital length of stay in days, mean ± SD | 7.0 ± 5.7 | 8.1 ± 6.1 | 6.0 ± 4.9 | <0.001 |
Comorbid conditions included alcohol abuse, deficiency anemias, rheumatoid arthritis, collagen vascular diseases, chronic blood loss anemia, congestive heart failure, chronic pulmonary disease, coagulopathy, depression, diabetes with and without complications, hypertension with and without complications, hypothyroidism, liver disease, fluid and electrolyte disorders, neurological disorders, obesity, peripheral vascular disease, psychoses, pulmonary circulatory disorders, renal failure, cardiac valvular disease, and recent weight loss
Includes accidental puncture, laceration, and hemorrhage complicating a procedure
Includes mechanical wound, infectious, urinary, pulmonary, gastrointestinal, and cardiovascular complications