Table 2.
Postoperative Complications Following Minimally Invasive Surgery in Urgent Colorectal Resections Compared to Open
| Outcome | Mis (n = 12,721) | Open (n = 16,624) | Odds of Complication*(n = 29,345) | Odds of Complication†(n = 23,826) |
|---|---|---|---|---|
| % (n) | % (n) | OR (95% CI) | aOR (95% CI) | |
| Death | 1.5 (195) | 3.8 (624) | 0.40 (0.34, 0.47) | 0.75 (0.61, 0.91) |
| Prolonged stay (> 30 days) | 1.2 (148) | 2.6 (432) | 0.44 (0.37, 0.53) | 0.62 (0.49, 0.78) |
| Bleeding Complications | 14.0 (1179) | 22.0 (3662) | 0.57 (0.54, 0.61) | 0.68 (0.63, 0.73) |
| Septic Shock | 2.4 (306) | 6.1 (1010) | 0.38 (0.34, 0.43) | 0.65 (0.55, 0.75) |
| Systemic Sepsis | 6.6 (841) | 10.8 (1795) | 0.59 (0.54, 0.64) | 0.86 (0.78, 0.95) |
| Gastrointestinal Ileus | 17.5 (2228) | 30.4 (5035) | 0.49 (0.46, 0.52) | 0.60 (0.56, 0.64) |
| Return to Operating Room | 5.6 (715) | 7.7 (1278) | 0.72 (0.65, 0.79) | 0.80 (0.72, 0.90) |
| Wound Dehiscence | 0.9 (115) | 2.1 (348) | 0.43 (0.35, 0.53) | 0.59 (0.46, 0.76) |
| Anastomotic Leak | 3.3 (422) | 4.6 (758) | 0.72 (0.63, 0.81) | 0.84 (0.72, 0.97) |
| Renal Failure | 0.6 (77) | 1.2 (193) | 0.52 (0.40, 0.68) | 0.74 (0.54, 1.01) |
| Myocardial Infarction | 0.9 (108) | 1.2 (206) | 0.68 (0.54, 0.86) | 0.81 (0.60, 1.08) |
| Reintubation | 2.1 (272) | 4.1 (678) | 0.52 (0.45, 0.59) | 0.70 (0.59, 0.83) |
| Deep Venous Thrombosis | 2.0 (260) | 3.0 (505) | 0.67 (0.57, 0.78) | 0.77 (0.65, 0.92) |
| Organ Space SSI | 6.1 (774) | 9.6 (1592) | 0.62 (0.56, 0.67) | 0.75 (0.68, 0.84) |
| Deep SSI | 0.9 (117) | 1.5 (255) | 0.60 (0.48, 0.74) | 0.72 (0.55, 0.93) |
| Superficial SSI | 4.7 (601) | 4.9 (1146) | 0.67 (0.61, 0.74) | 0.72 (0.63, 0.81) |
| Cerebrovascular Accident | 0.3 (40) | 0.5 (86) | 0.61 (0.42, 0.88) | 0.70 (0.46, 1.10) |
| Pulmonary Embolism | 0.9 (116) | 1.4 (225) | 0.67 (0.54, 0.84) | 0.61 (0.47, 0.79) |
| Cardiac Arrest | 0.7 (84) | 1.2 (203) | 0.54 (0.42, 0.69) | 0.74 (0.55, 0.99) |
| Urinary Tract Infection | 2.4 (307) | 3.4 (561) | 0.71 (0.62, 0.82) | 0.80 (0.67, 0.94) |
| Readmission | 15.8 (1579) | 17.1 (2325) | 0.91 (0.85, 0.98) | 0.87 (0.79, 0.95) |
| Colostomy | 14.5 (1663) | 35.6 (5577) | 0.31 (0.29, 0.33) | 0.43 (0.39, 0.46) |
a
OR, adjusted odds ratio; OR, odds ratio; SSI, superficial site infection; MIS, minimally invasive surgery.
Bolded estimates were statistically significant different from 1 (P < .05).
*
Unadjusted odds of complication.
†
Multivariable analysis adjusting for propensity score and including year of operation as random effect.