Table 4.
Operative outcomes by approach - all cases
| INSTITUTION | NTDB | |||||
|---|---|---|---|---|---|---|
| Laparotomy (n = 305) | Laparoscopy (n = 64) | p-value | Laparotomy (n = 9,736) | Laparoscopy (n = 1,363) | p-value | |
| Operating time | 100 [65, 147] | 85 [64, 127] | 0.216 | -- | -- | -- |
| Estimated Blood Loss (ml) | 300 [100, 1000] | 15 [10, 25] | < 0.001 | -- | -- | -- |
| Therapeutic operation | ||||||
| Yes | 295 (97%) | 47 (73%) | < 0.001 | 3,968 (83%) | 402 (64%) | < 0.001 |
| No | 10 (3%) | 17 (27%) | 818 (17%) | 230 (36%) | ||
| Length of Hospital Stay (days) | 6 [4, 12] | 3 [2, 5] | < 0.001 | 7 [4, 13] | 4 [2, 8] | < 0.001 |
| ICU Days | 1 [0, 4] | 0 [0, 0] | < 0.001 | 2 [0. 51 | 0 [0, 2] | < 0.001 |
| Ventilator Days | 0 [0, 2] | 0 [0, 0] | < 0.001 | 0 [0, 2] | 0 [0, 0] | < 0.001 |
| Any Hospital Complication | ||||||
| No | 205 (67%) | 59 (92%) | < 0.001 | 7,852 (81%) | 1,250 (92%) | < 0.001 |
| Yes | 100 (33%) | 5 (8%) | 1,884 (19%) | 113 (8%) | ||
| Missed Injury/Re-exploration | ||||||
| No | 295 (97%) | 64 (100%) | 0.142 | -- | -- | -- |
| Yes | 10 (3%) | 0 | -- | -- | ||
| Surgical Site Infection | ||||||
| No | 11 (4%) | 0 | 0.123 | 9,401 (97%) | 1,357 (100%) | < 0.001 |
| Yes | 294 (96%) | 64 (100%) | 335 (3%) | 6 (0%) | ||
| Postoperative ileus | ||||||
| No | 285 (93%) | 63 (98%) | 0.117 | -- | -- | -- |
| Yes | 20 (7%) | 1 (2%) | -- | -- | ||
| Small Bowel Obstruction | ||||||
| No | 235 (77%) | 45 (70%) | 0.161 | -- | -- | -- |
| Yes | 13 (4%) | 1 (2%) | -- | -- | ||
| No long-term follow-up | 57 (19%) | 18 (28%) | -- | -- | ||
| Vital status at discharge | ||||||
| Alive | 270 (89%) | 63 (98%) | 0.015 | 8,573 (88%) | 1,346 (99%) | < 0.001 |
| Dead | 35 (11%) | 1 (2%) | 1,091 (11%) | 6 (0%) | ||
Excludes conversions
Institutional hospital complications include: missed injury or re-exploration, unplanned return to OR, surgical site infection, other local infection, bacteremia, fungemia, or ileus
NTDB hospital complications include: abdominal compartment syndrome, abdominal fascia left open, acute renal failure, acute respiratory distress syndrome, base deficit, bleeding, cardiac arrest with CPR, coagulopathy, coma, decubitus ulcer, surgical site infection, drag or alcohol withdrawal syndrome, deep vein thrombosis, extremity compartment syndrome, graft/prosthesis/flap failure, elevated intracranial pressure, myocardial infarction, pneumonia, pulmonary embolism, stroke, systemic sepsis, unplanned intubation, or wound disruption