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Related Experiment Video

Updated: May 29, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Published on: April 19, 2024

Colectomy performance improvement within NSQIP 2005-2008.

Deepak K Ozhathil1, YouFu Li, Jillian K Smith

  • 1Department of Surgery, Surgical Outcomes Analysis & Research, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA.

The Journal of Surgical Research
|August 30, 2011
PubMed
Summary
This summary is machine-generated.

Laparoscopic colectomies are increasingly common, while open colectomies are decreasing. Despite this shift, overall colectomy complications improved, with significant reductions in postoperative issues and perioperative metrics.

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes Research
  • Health Services Research

Background:

  • Analysis of colectomy trends and outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database.
  • Evaluation of all open and laparoscopic colectomies to identify improvements in operative outcomes.

Purpose of the Study:

  • To assess trends in colectomy procedures and their impact on patient outcomes.
  • To compare the effectiveness of laparoscopic versus open colectomy approaches.

Main Methods:

  • Retrospective analysis of 48,247 adult colectomies from the ACS NSQIP database (2005-2008).
  • Data categorized by surgical approach (laparoscopic vs. open) and urgency (emergent vs. elective).
  • Primary outcomes included morbidity, mortality, and perioperative/postoperative complications.

Main Results:

  • Laparoscopic colectomies increased from 26.3% to 34.0%, while open colectomies decreased.
  • Overall risk-adjusted morbidity and mortality showed no significant change, but increased in open and decreased in laparoscopic colectomies.
  • Significant reductions observed in postoperative complications (surgical site infections, pneumonia, sepsis) and improvements in operative time, transfusions, and length of stay.

Conclusions:

  • Laparoscopic colectomy is gaining popularity, though emergent open procedures remain necessary.
  • Key postoperative and perioperative complications have improved across all colectomy types.
  • Participation in ACS NSQIP is associated with quality improvement in colectomy outcomes.