PMID- 21265354
OWN - NLM
STAT- MEDLINE
DCOM- 20110217
LR  - 20191210
IS  - 0003-1348 (Print)
IS  - 0003-1348 (Linking)
VI  - 76
IP  - 12
DP  - 2010 Dec
TI  - Can laparoscopic ileocolic resection be performed with comparable safety to open 
      surgery for regional enteritis: data from National Surgical Quality Improvement 
      Program.
PG  - 1393-6
AB  - Laparoscopic ileocolic resection is feasible for Crohn's disease but few studies 
      adjust for the various preoperative, intraoperative, and postoperative variables 
      that may confound comparisons with open surgery. The aim of this study is to 
      compare outcomes after laparoscopic (LICR) and open ileocolic resection (OICR) 
      performed for regional enteritis using National Surgical Quality Improvement 
      Program (NSQIP) data. Retrospective evaluation of data prospectively accrued into 
      the NSQIP database for patients undergoing ileocolic resection for Crohn's by 
      LICR and OICR was performed. LICR (n = 104) and OICR (n = 203) groups had similar 
      age (P = 0.1), body mass index (P = 0.9), smoking history (P = 0.6), steroid use 
      (P = 0.7), diabetes (P = 0.3), serum albumin (P = 0.07), and American Society of 
      Anesthesiologists class (P = 0.13). LICR group had more female patients (P = 
      0.005). Complications including surgical site infections (P = 0.5), wound 
      dehiscence (P = 1), pneumonia (P = 0.1), deep vein thrombosis (P = 0.3), 
      pulmonary embolism (P = 1), urinary infection (P = 0.1), and return to the 
      operating room (P = 0.2) were similar. LICR had shorter length of hospital stay 
      than OICR (P < 0.001). In current practice, as observed with the NSQIP data, 
      LICR, performed by experienced surgeons, is comparable in safety to OICR and is 
      associated with a shorter hospital stay.
FAU - Kirat, Hasan T
AU  - Kirat HT
AD  - Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio 
      44195, USA.
FAU - Pokala, Naveen
AU  - Pokala N
FAU - Vogel, Jon D
AU  - Vogel JD
FAU - Fazio, Victor W
AU  - Fazio VW
FAU - Kiran, Ravi P
AU  - Kiran RP
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Adult
MH  - Databases, Factual
MH  - Digestive System Surgical Procedures/*methods
MH  - Enteritis/*surgery
MH  - Female
MH  - Humans
MH  - *Laparoscopy
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Outcome Assessment, Health Care
MH  - Postoperative Complications/epidemiology
MH  - Quality Improvement
MH  - Retrospective Studies
MH  - United States
MH  - Young Adult
EDAT- 2011/01/27 06:00
MHDA- 2011/02/18 06:00
CRDT- 2011/01/27 06:00
PHST- 2011/01/27 06:00 [entrez]
PHST- 2011/01/27 06:00 [pubmed]
PHST- 2011/02/18 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2010 Dec;76(12):1393-6.