TABLE 2.
2016 | 2017 | 2018 | 2019 | 2020 | p‐value for difference 2019–2020 | |
---|---|---|---|---|---|---|
All surgical treatments n (%) |
3984 | 3785 | 3874 | 4016 | 3964 | N.A. |
Appendectomy | 17 (0.43) | 9 (0.24) | 18 (0.46) | 8 (0.20) | 8 (0.20) | 0.29 |
Polypectomy/local resection | 157 (3.9) | 154 (4.1) | 123 (3.2) | 113 (2.8) | 124 (3.1) | |
Stent | 40 (1.0) | 30 (0.79) | 24 (0.62) | 29 (0.72) | 28 (0.71) | |
Laparotomy/laparoscopy without resection | 139 (3.5) | 93 (2.5) | 97 (2.5) | 91 (2.3) | 109 (2.8) | |
Other operation | 50 (1.3) | 6 (0.16) | 2 (0.05) | 1 (0.02) | 6 (0.15) | |
Resection surgery | 3579 (90) | 3491 (92) | 3610 (93) | 3774 (94) | 3688 (93) | |
Type of treatment missing | 2 (0.05) | 2 (0.05 | 0 (0) | 0 (0) | 1 (0.03 | |
Total number of ostomy constructions a | 734 (18) | 692 (18) | 691 (18) | 745 (19) | 800 (20) | 0.07 |
All resection surgery | 3579 | 3491 | 3610 | 3774 | 3688 | N.A. |
Acute resection surgery b | 544 (15) | 500 (14) | 508 (14) | 511 (14) | 515 (14) | 0.46 |
Type of resection surgery c | ||||||
Ileocecal resection | 37 (1.0) | 23 (0.66) | 26 (0.72) | 23 (0.61) | 24 (0.65) | 1.0 |
Right‐sided hemicolectomy | 1982 (55) | 1838 (53) | 1962 (54) | 2111 (56) | 2039 (55) | |
Transverse colon resection | 58 (1.6) | 57 (1.6) | 60 (1.7) | 54 (1.4) | 54 (1.5) | |
Left‐sided resection | 334 (9.3) | 367 (11) | 370 (10) | 378 (10) | 359 (9.7) | |
Sigmoid sesection | 756 (21) | 748 (21) | 725 (20) | 747 (20) | 757 (21) | |
Hartmann resection | 109 (3.0) | 126 (3.6) | 89 (2.5) | 117 (3.1) | 120 (3.3) | |
Anterior resection | 121 (3.4) | 133 (3.8) | 147 (4.1) | 135 (3.6) | 134 (3.6) | |
Colectomy | 178 (5.0) | 189 (5.4) | 222 (6.2) | 196 (5.2) | 191 (5.2) | |
Abdominoperineal resection | 4 (0.11) | 10 (0.29) | 9 (0.25) | 13 (0.34) | 10 (0.27) | |
Elective resection surgery | 3033 | 2990 | 3102 | 3263 | 3171 | |
Diverting stoma preoperatively | 135 (4.4) | 124 (4.2) | 149 (4.8) | 142 (4.4) | 193 (6.1) | 0.0020 |
Preoperative chemotherapy | 92 (3.0) | 96 (3.2) | 86 (2.8) | 113 (3.5) | 161 (5.1) | 0.0016 |
Laparoscopic surgery | 1168 (39) | 1279 (43) | 1499 (48) | 1771 (54) | 1845 (58) | 0.0017 |
Number of days from diagnosis to surgery d median (IQR) | 32 (22–43) | 32 (22–46) | 33 (24–44) | 33 (24–44) | 29 (22–41) | <0.0001 |
Days of hospital stay c median (IQR) | 6 (4–10) | 6 (4–9) | 6 (4–9) | 5 (3–8) | 5 (3–8) | 0.17 |
30‐day outcomes | ||||||
Surgical complication | 409 (13) | 382 (13) | 427 (14) | 407 (12) | 364 (11) | 0.23 |
Treated in intensive care | 152 (5.0) | 141 (4.7) | 134 (4.3) | 108 (3.3) | 97 (3.1) | 0.57 |
Reoperation | 229 (7.6) | 223 (7.5) | 245 (7.9) | 234 (7.2) | 201 (6.3) | 0.20 |
Readmission | 256 (8.4) | 203 (6.8) | 254 (8.2) | 297 (9.1) | 264 (8.3) | 0.29 |
Death | 41 (1.4) | 50 (1.7) | 40 (1.3) | 44 (1.4) | 34 (1.1) | 0.36 |
Abbreviation: N.A, not applicable.
All stomas created, including stoma as the only procedure and permanent and diverting stoma at resection surgery.
Information on acute or elective surgery missing in two patients in 2016, one patient in 2017 and two patients in 2020.
All resection surgery (acute and elective).
Restricted to patients diagnosed the same year.