Laparoscopic converted to open colectomy

Predictors and outcomes from the Nationwide Inpatient Sample

Kim Lu, Molly M. Cone, Brian S. Diggs, Jennifer D. Rea, Daniel Herzig

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: Early in their learning curve, surgeons need to appropriately select patients to avoid conversion from laparoscopic to an open colectomy. Methods: Using the Nationwide Inpatient Sample, laparoscopic and laparoscopic converted to open colectomies performed between 2002 and 2007 were compared. We evaluated patient and institutional characteristics to find significant predictors and outcomes of conversion. Results: Between 2002 and 2007, the rate of conversion was high, ranging from 35.7% to 38.0%. Multivariate predictors of conversion included obesity, diverticulitis, inflammatory bowel disease, constipation, metastatic disease, nonelective admission, left or transverse colectomy, intraoperative complication, lower socioeconomic status, uninsured status, and rural hospital location. A colectomy for benign colon polyps was less likely to be converted. Conversion to an open colectomy did not increase inpatient mortality. Conclusions: Predictors of conversion from open to laparoscopic colectomy were found from a national database reflecting all US laparoscopic colectomies. Conversion did not increase inpatient mortality.

Original languageEnglish (US)
Pages (from-to)630-634
Number of pages5
JournalAmerican Journal of Surgery
Volume201
Issue number5
DOIs
StatePublished - May 2011

Fingerprint

Colectomy
Inpatients
Rural Hospitals
Diverticulitis
Learning Curve
Mortality
Intraoperative Complications
Constipation
Polyps
Inflammatory Bowel Diseases
Social Class
Colon
Obesity
Databases

Keywords

  • Conversion
  • Laparoscopic colectomy
  • Nationwide Inpatient Sample
  • Outcomes
  • Predictors

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic converted to open colectomy : Predictors and outcomes from the Nationwide Inpatient Sample. / Lu, Kim; Cone, Molly M.; Diggs, Brian S.; Rea, Jennifer D.; Herzig, Daniel.

In: American Journal of Surgery, Vol. 201, No. 5, 05.2011, p. 630-634.

Research output: Contribution to journalArticle

@article{0529d3c703b74b738c4970cc9c3001a2,
title = "Laparoscopic converted to open colectomy: Predictors and outcomes from the Nationwide Inpatient Sample",
abstract = "Background: Early in their learning curve, surgeons need to appropriately select patients to avoid conversion from laparoscopic to an open colectomy. Methods: Using the Nationwide Inpatient Sample, laparoscopic and laparoscopic converted to open colectomies performed between 2002 and 2007 were compared. We evaluated patient and institutional characteristics to find significant predictors and outcomes of conversion. Results: Between 2002 and 2007, the rate of conversion was high, ranging from 35.7{\%} to 38.0{\%}. Multivariate predictors of conversion included obesity, diverticulitis, inflammatory bowel disease, constipation, metastatic disease, nonelective admission, left or transverse colectomy, intraoperative complication, lower socioeconomic status, uninsured status, and rural hospital location. A colectomy for benign colon polyps was less likely to be converted. Conversion to an open colectomy did not increase inpatient mortality. Conclusions: Predictors of conversion from open to laparoscopic colectomy were found from a national database reflecting all US laparoscopic colectomies. Conversion did not increase inpatient mortality.",
keywords = "Conversion, Laparoscopic colectomy, Nationwide Inpatient Sample, Outcomes, Predictors",
author = "Kim Lu and Cone, {Molly M.} and Diggs, {Brian S.} and Rea, {Jennifer D.} and Daniel Herzig",
year = "2011",
month = "5",
doi = "10.1016/j.amjsurg.2011.01.009",
language = "English (US)",
volume = "201",
pages = "630--634",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Laparoscopic converted to open colectomy

T2 - Predictors and outcomes from the Nationwide Inpatient Sample

AU - Lu, Kim

AU - Cone, Molly M.

AU - Diggs, Brian S.

AU - Rea, Jennifer D.

AU - Herzig, Daniel

PY - 2011/5

Y1 - 2011/5

N2 - Background: Early in their learning curve, surgeons need to appropriately select patients to avoid conversion from laparoscopic to an open colectomy. Methods: Using the Nationwide Inpatient Sample, laparoscopic and laparoscopic converted to open colectomies performed between 2002 and 2007 were compared. We evaluated patient and institutional characteristics to find significant predictors and outcomes of conversion. Results: Between 2002 and 2007, the rate of conversion was high, ranging from 35.7% to 38.0%. Multivariate predictors of conversion included obesity, diverticulitis, inflammatory bowel disease, constipation, metastatic disease, nonelective admission, left or transverse colectomy, intraoperative complication, lower socioeconomic status, uninsured status, and rural hospital location. A colectomy for benign colon polyps was less likely to be converted. Conversion to an open colectomy did not increase inpatient mortality. Conclusions: Predictors of conversion from open to laparoscopic colectomy were found from a national database reflecting all US laparoscopic colectomies. Conversion did not increase inpatient mortality.

AB - Background: Early in their learning curve, surgeons need to appropriately select patients to avoid conversion from laparoscopic to an open colectomy. Methods: Using the Nationwide Inpatient Sample, laparoscopic and laparoscopic converted to open colectomies performed between 2002 and 2007 were compared. We evaluated patient and institutional characteristics to find significant predictors and outcomes of conversion. Results: Between 2002 and 2007, the rate of conversion was high, ranging from 35.7% to 38.0%. Multivariate predictors of conversion included obesity, diverticulitis, inflammatory bowel disease, constipation, metastatic disease, nonelective admission, left or transverse colectomy, intraoperative complication, lower socioeconomic status, uninsured status, and rural hospital location. A colectomy for benign colon polyps was less likely to be converted. Conversion to an open colectomy did not increase inpatient mortality. Conclusions: Predictors of conversion from open to laparoscopic colectomy were found from a national database reflecting all US laparoscopic colectomies. Conversion did not increase inpatient mortality.

KW - Conversion

KW - Laparoscopic colectomy

KW - Nationwide Inpatient Sample

KW - Outcomes

KW - Predictors

UR - http://www.scopus.com/inward/record.url?scp=79955698249&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955698249&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2011.01.009

DO - 10.1016/j.amjsurg.2011.01.009

M3 - Article

VL - 201

SP - 630

EP - 634

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 5

ER -