| アブストラクト | PURPOSE: To compare the short-term outcomes of conventional open colectomy with those of laparoscopic colectomy for colon cancer. METHODS: We retrieved data between January 2014 and March 2016 from the Diagnosis Procedure Combination database. A total of 69,418 patients who underwent colectomy for colon cancer were analyzed from among 15,901,766 cases of colorectal cancer. We applied a multilevel logistic regression model using a 2-level structure of individuals nested from 1065 hospitals. RESULTS: A total of 22,440 open colectomy and 46,978 laparoscopic colectomy procedures were performed. The in-hospital mortality rate was significantly lower in the laparoscopic group than in the open group (0.28% vs. 0.06%, odds ratio [OR] 0.40, p < 0.001). Similarly, the 30-day postoperative mortality rate (0.14% vs. 0.03%, OR 0.47, p = 0.019) and surgical morbidity rate (43.0% vs. 25.3%, OR 0.47, p < 0.001) were significantly lower in the laparoscopic group than in the open group. The postoperative length of stay was significantly longer in the open group (mean difference - 5.6 days, p < 0.001) than in the open group. The admission cost was significantly greater in the open group than in the laparoscopic group (mean difference - 95,080 yen, p < 0.001). CONCLUSIONS: Laparoscopic colectomy is safe and effective in the short term. |
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| ジャーナル名 | Surgery today |
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| Pubmed追加日 | 2020/4/27 |
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| 投稿者 | Tajima, Takehide; Nagata, Jun; Akiyama, Yasuki; Torigoe, Takayuki; Fujimoto, Kenji; Sato, Norihiro; Fujino, Yoshihisa; Shibao, Kazunori; Matsuda, Shinya; Hirata, Keiji |
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| 組織名 | Department of Surgery 1, University Hospital, University of Occupational and;Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka,;807-8555, Japan. t-tajima@med.uoeh-u.ac.jp.;807-8555, Japan.;Department of Preventive Medicine and Community Health, University of;Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu,;Fukuoka, 807-8555, Japan.;Department of Environmental Epidemiology, Institute of Industrial Ecological;Sciences, University of Occupational and Environmental Health, 1-1 Iseigaoka,;Yahatanishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/32335714/ |
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