Journal article
Short-Term Outcomes after Laparoscopic-Assisted Proctectomy for Rectal Cancer: Results from the ACS NSQIP
Journal of the American College of Surgeons, Vol.212(5), pp.844-854
2011
DOI: 10.1016/j.jamcollsurg.2011.01.005
PMCID: PMC3488426
PMID: 21414814
Abstract
Background
Although numerous studies have demonstrated improved short-term outcomes after laparoscopic resection of colon cancer, the benefits of laparoscopic-assisted proctectomy (LAP) for rectal cancer are less clear. The current report addresses the need for a large multi-institutional study on early outcomes after proctectomy for cancer.
Study Design
Patients who underwent elective LAP or open proctectomy for cancer during 2005 to 2009 were identified from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. The frequency of postoperative complications and other early outcomes was determined. Multivariate logistic regression identified predictors of 30-day morbidity. Propensity scores, stratified by quintiles, were included in all multivariable models to partially adjust for nonrandom assignment of treatment.
Results
Of 5,420 patients who underwent surgery for rectal cancer, 4,380 underwent open proctectomy and 1,040 (19.2%) LAP. The LAP group had a lower frequency of blood transfusion (12.3% versus 4.3%; p < 0.0001) and a longer mean operative time (242 versus 219 minutes; p < 0.0001). Median length of stay was 5 days after LAP and 7 days after open resection (p < 0.0001). Although no difference in 30-day mortality was detected, the frequency of complications was less after LAP (20.5% versus 28.8%; p < 0.0001). Specifically, the frequencies of superficial surgical site infection, sepsis, respiratory complications, renal failure, and venous thromboembolism were each lower in the LAP group. After adjusting for potential confounders, the likelihood of 30-day morbidity was significantly greater in open versus laparoscopic proctectomy (odds ratio = 1.41; 95% CI, 1.19–1.68).
Conclusions
Compared with open proctectomy, LAP is associated with decreased length of stay and 30-day morbidity. If ongoing randomized clinical trials confirm oncologic equivalency, LAP might eventually replace open resection as the standard of care for the treatment of patients with resectable rectal cancer.
Details
- Title: Subtitle
- Short-Term Outcomes after Laparoscopic-Assisted Proctectomy for Rectal Cancer: Results from the ACS NSQIP
- Creators
- David Yu Greenblatt - Section of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, WI, United StatesVictoria RAJAMANICKAM - Section of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, WI, United StatesAndrew J PUGELY - Section of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, WI, United StatesCharles P HEISE - Section of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, WI, United StatesEugene F FOLEY - Section of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, WI, United StatesGregory D KENNEDY - Section of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, WI, United States
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Surgeons, Vol.212(5), pp.844-854
- DOI
- 10.1016/j.jamcollsurg.2011.01.005
- PMID
- 21414814
- PMCID
- PMC3488426
- NLM abbreviation
- J Am Coll Surg
- ISSN
- 1072-7515
- eISSN
- 1879-1190
- Publisher
- Elsevier; New York, NY
- Language
- English
- Date published
- 2011
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040461302771
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