Analyzing clinical outcomes in laparoscopic right vs. left colectomy in colon cancer patients using the NSQIP database

Valentine N Nfonsam, Hassan Aziz, Viraj Pandit, Mazhar Khalil, Jana Jandova, Bellal A Joseph

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Introduction: Optimization of surgical outcomes after colectomy continues to be actively studied, but most studies group right-sided and left-sided colectomies together. The aim of our study was to determine whether the complication rate differs between right-sided and left-sided colectomies for cancer. Methods: We identified patients who underwent laparoscopic colectomy for colon cancer between 2005 and 2010 in the American College of Surgeons National Surgical Quality Improvement Program database and stratified cases by right and left side. The two groups were matched using propensity score matching for demographics, previous abdominal surgery, pre-operative chemotherapy and radiotherapy, and pre-operative laboratory data. Outcome measures were: 30-day mortality and morbidity. Results: We identified 2512 patients who underwent elective laparoscopic colectomy for right-sided or left-sided colon cancer. The two groups were similar in demographics, and pre-operative characteristics. There was no difference in overall morbidity (15% vs. 17.7%; p value

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalCancer Treatment Communications
Volume8
DOIs
StatePublished - 2016

Keywords

  • Colon cancer
  • Laparoscopic colectomy

ASJC Scopus subject areas

  • Oncology

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