Original articleUse of laparoscopy in general surgical operations at academic centers
Section snippets
Discharge data set
The University HealthSystem Consortium (UHC) database is an administrative, clinical, and financial database that provides benchmark measures for the use of healthcare resources for the purpose of comparative data analysis among academic institutions. The UHC database is a collection of patient-level, abstracted data from academic health centers and affiliate community hospitals. It contains discharge information on the inpatient hospital stay, including patient characteristics, length of stay,
Results
The demographics of the patients undergoing the 7 general operations are listed in Table 2. Patients undergoing colorectal surgery tended to be older and to have more moderate and major severity of illness.
The use of laparoscopy among the 7 different general surgical operations is depicted in Figure 1. The rate of laparoscopy was 94.0% for bariatric surgery, 83.7% for antireflux surgery, 79.2% for appendectomy, 77.1% for cholecystectomy, 52.4% for colectomy, 28.1% for ventral hernia repair, and
Discussion
Data from a large cohort of patients who underwent 7 commonly performed inpatient general surgical operations at academic medical centers from 2008 to 2012 showed the greatest usage of laparoscopy for bariatric surgery and the lowest for rectal resection. The in-hospital mortality for bariatric surgery was comparable to that of laparoscopic cholecystectomy, ventral hernia repair, appendectomy, and antireflux surgery.
In the present study, we found 4 general surgical operations with >75%
Conclusion
Within the context of academic centers and elective, inpatient procedures, bariatric surgery has the greatest use of laparoscopy and the lowest conversion rate to open surgery. The in-hospital mortality of laparoscopic bariatric surgery is now comparable to that of laparoscopic cholecystectomy, ventral hernia repair, appendectomy, and antireflux surgery.
Disclosures
The authors have no commercial associations that might be a conflict of interest in relation to this article.
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