Colorectal surgery in XXXX -outcomes and predictors of mortality.

@entity1 @entity1321 @entity14 @entity191
PURPOSE: Although diseases of the lower gastrointestinal tract are common in @entity1 with @entity191 , there is a paucity of data regarding postoperative outcomes after colorectal surgery. METHODS: The Nationwide Inpatient Sample database (2007-2011) was utilized to analyze outcomes in @entity1 with @entity191 ( @entity191 ) undergoing colorectal surgery. Main outcomes were risk-adjusted inpatient morbidity, mortality, hospital charge, and length of hospital stay. RESULTS: A total of 6490 @entity1 were identified. Utilization of laparoscopic surgery in @entity191 @entity1 has progressively increased in frequency over the latest 5  years analyzed. The most common diagnoses were @entity14 (39  %) and @entity1321 (20  %). Right hemicolectomy (37  %) and sigmoidectomy (30  %) were the most common operations. Laparoscopy was used in 18  % of @entity191 @entity1 and most commonly in the elective setting. 54.3  % of @entity191 @entity1 had emergency surgery compared to 38.6  % in @entity191 . Overall morbidity and mortality were significantly lower after laparoscopic surgery compared to open (20 vs. 25  % and 2.1 vs. 6.6  %, respectively). Length of stay was significantly shorter (OR -1.86; p   <   0.01) for laparoscopic operations, but there were no significant differences in risk-adjusted outcomes between laparoscopic and open groups. CONCLUSION: @entity191 @entity1 have high rates of morbidity and mortality after colorectal surgery; this may be because more than half of all @entity1 in this population undergo emergent surgery. The laparoscopic approach appears to have short-term benefits in this @entity1 population.
