Table 2.
30 day post-operative outcomes for Crohn’s Disease patients undergoing an elective colectomy, stratified by operative approach
| Outcome (%) | Laparoscopic converted to open 1017 (12.6) | Open 3253 (40.5) | pa | Laparoscopic 3769 (46.9) | pb |
|---|---|---|---|---|---|
| Overall morbidityc | 274 (26.9) | 925 (28.4) | 0.355 | 515 (13.7) | < 0.001 |
| Serious morbidityd | 167 (16.4) | 519 (16.0) | 0.724 | 283 (7.5) | < 0.001 |
| Readmission | 152 (17.6) | 489 (17.4) | 0.897 | 324 (10.3) | < 0.001 |
| Reoperation | 50 (4.9) | 177 (5.4) | 0.515 | 115 (3.0) | 0.004 |
| Mortality | 1 (0.1) | 10 (0.3) | 0.251 | 2 (0.1) | 0.609 |
| Ileus | 204 (20.1) | 649 (20.0) | 0.935 | 362 (9.6) | < 0.001 |
| LOS (days), mean ± SD | 6.1 ± 7.6 | 6.6 ± 9.3 | 0.162 | 4.9 ± 7.6 | < 0.001 |
| Operative time, mean ± SD | 188 ± 73 | 166 ± 83 | < 0.001 | 152 ± 66 | < 0.001 |
| Individual complications | |||||
| Wound infectione | 67 (6.6) | 255 (7.8) | 0.187 | 130 (3.5) | < 0.001 |
| Pneumonia | 9 (0.9) | 45 (1.4) | 0.214 | 30 (0.8) | 0.779 |
| Anastomotic leak | 42 (4.1) | 159 (4.9) | 0.319 | 117 (3.1) | 0.105 |
| Urinary tract infection | 11 (1.2) | 52 (1.6) | 0.233 | 29 (0.8) | 0.332 |
| VTE | 19 (1.9) | 62 (1.9) | 0.939 | 43 (1.1) | 0.069 |
| Cardiac complicationf | 7 (0.7) | 10 (0.3) | 0.092 | 4 (0.1) | 0.001 |
| Shock/sepsis | 81 (7.7) | 270 (8.3) | 0.734 | 112 (3.0) | < 0.001 |
| Unplanned intubation | 12 (1.2) | 29 (0.9) | 0.410 | 7 (0.2) | < 0.001 |
| Bleeding requiring transfusion | 98 (9.6) | 279 (8.6) | 0.299 | 140 (3.7) | < 0.001 |
| Renal complicationg | 11 (1.1) | 33 (1.0) | 0.853 | 12 (0.3) | 0.002 |
| On ventilator > 48 h | 9 (0.9) | 29 (0.9) | 0.985 | 12 (0.3) | 0.015 |
| Organ space SSI | 111 (10.9) | 311 (9.6) | 0.207 | 173 (4.6) | < 0.001 |
LOS length of hospital stay, SD standard deviation, VTE venous thrombosis, SSI surgical site infection
aLaparoscopic converted to open vs. open colectomy
bLaparoscopic converted to open vs. laparoscopic colectomy
cOverall morbidity: Wound infection, pneumonia, urinary tract infection, VTE, cardiac complication, shock/sepsis, unplanned intubation, bleeding transfusion, renal complication, on ventilator > 48 h, organ space SSI, and leak
dClavien-Dindo III–IV: cardiac complication, shock/sepsis, unplanned intubation, renal complication, on ventilator > 48 h, organ space SSI, and reoperation
eWound infection: superficial SSI, deep incisional SSI, or wound disruption
fCardiac complication: cardiac arrest requiring CPR or myocardial infarction
gRenal complication: progressive renal insufficiency or acute renal failure