Role of Emergency Laparoscopic Colectomy for Colorectal Cancer: A Population-based Study in England

Objective: To evaluate factors associated with the use of laparoscopic surgery and the associated postoperative outcomes for urgent or emergency resection of colorectal cancer in the English National Health Service. Summary of Background Data: Laparoscopy is increasingly used for elective colorectal cancer surgery, but uptake has been limited in the emergency setting. Methods: Patients recorded in the National Bowel Cancer Audit who underwent urgent or emergency colorectal cancer resection between April 2010 and March 2016 were included. A multivariable multilevel logistic regression model was used to estimate odds ratios (ORs) of undergoing laparoscopic resection and postoperative outcome according to approach. Results: There were 15,516 patients included. Laparoscopy use doubled from 15.1% in 2010 to 30.2% in 2016. Laparoscopy was less common in patients with poorer physical status [American Society of Anaesthesiologists (ASA) 4/5 vs 1, OR 0.29 (95% confidence interval, 95% CI 0.23–0.37), P
Source: Annals of Surgery - Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research