Factors associated with conversion from laparoscopic to open colectomy using the National Surgical Quality Improvement Program (NSQIP) database

• DOI: 10.1111/codi.12800
• Publication Date: 2014-10-14T10:29:36Z
• Authors: A. R. Bhama; M. E. Charlton; M. B. Schmitt; J. W. Cromwell; J. C. Byrn
• Keywords: Adult; Aged, 80 and over; Male; Databases, Factual; Body Weight; Age Factors; Ascites; Middle Aged; Conversion to Open Surgery; Quality Improvement; Body Mass Index; 3. Good health; 03 medical and health sciences; Logistic Models; 0302 clinical medicine; Multivariate Analysis; Humans; Anesthesia; Female; Laparoscopy; Colorectal Surgery; Colectomy; Aged

Conversion rates from laparoscopic to open colectomy and associated factors are traditionally reported in clinical trials or reviews of outcomes experienced institutions. Indications selection criteria for may be more narrowly defined these circumstances. With the increased adoption laparoscopy, conversion using national data need closely examined. The purpose this study was use American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) identify with at a scale United States.The ACS-NSQIP Participant Use Data Files 2006-2011 were used patients who had undergone colectomy. Converted cases identified as primary procedure 'other procedure'. Preoperative variables statistics calculated sas version 9.3. Logistic regression model multivariate relationship between patient status.Laparoscopy successfully performed 41 585 patients, whom 2508 (5.8%) required an procedure. On univariate analysis following significant: age, body mass index (BMI), Society Anesthesiologists (ASA) class, presence diabetes, smoking, chronic obstructive pulmonary disease, ascites, stroke, weight loss chemotherapy (P < 0.05). remained significant on analysis: BMI, ASA ascites loss.Multiple identified. A novel finding risk underweight patients. As is become increasingly utilized, predictive procedures should sought via large cohorts.