caa a22 4500 445336838 CHVBK 20180317142758.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1245/s10434-010-1479-0 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1479-0 Minimally Invasive Surgery Is Underutilized for Colon Cancer [Elektronische Daten] [Celia Robinson, G. Chen, Courtney Balentine, Shubhada Sansgiry, Christy Marshall, Daniel Anaya, Avo Artinyan, Daniel Albo, David Berger] Background: The Clinical Outcomes of Surgical Therapy Group (COST) trial published in 2004 demonstrated that minimally invasive surgery (MIS) for colorectal cancer provided equivalent oncologic results and better short-term outcomes when compared to open surgery. Before this, MIS comprised approximately 3% of colorectal cancer cases. We hypothesized that there would be a dramatic increase in the use of MIS for colon cancer after this publication. Methods: The National Inpatient Sample database was used to retrospectively review MIS and open colon resections from 2005 through 2007. ICD-9-specific procedure codes were used to identify open and MIS colon cancer resections. Statistical analyses performed included Pearson χ2 tests and dependent t tests, and Cramer's V was used to measure the strength of association. Results: A total of 240,446 colon resections were performed between 2005 and 2007. The percentage of resections performed laparoscopically increased from 4.7% in 2005 to 6.7% in 2007 for colon cancer and remained relatively unchanged for benign disease (25.2% in 2005 vs. 27.4% in 2007, P<0.007). Patients undergoing laparoscopic colectomy were younger, had lower comorbidity scores, had lower rates of complications (20.1 vs. 25.1%, P<0.001), had shorter lengths of stay (7.2 vs. 9.6days, P<0.001), and had lower mortality (1.5 vs. 3.0%, P<0.001). Furthermore, when evaluating adoption trends, urban teaching hospitals adopted laparoscopy more rapidly than rural nonteaching centers. Conclusions: Adoption of MIS for the treatment of colorectal cancer has been slow. Additional studies to evaluate barriers in the adoption of MIS for colon cancer resection are warranted. Society of Surgical Oncology, 2011 Robinson Celia Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut Chen G. Houston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, Texas, USA aut Balentine Courtney Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut Sansgiry Shubhada Houston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, Texas, USA aut Marshall Christy Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut Anaya Daniel Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut Artinyan Avo Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut Albo Daniel Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut Berger David Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1412-1418 1068-9265 18:5<1412 2011 18 10434 https://doi.org/10.1245/s10434-010-1479-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1479-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Robinson Celia Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Chen G. Houston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Balentine Courtney Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Sansgiry Shubhada Houston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Marshall Christy Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Anaya Daniel Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Artinyan Avo Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Albo Daniel Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut NATIONALLICENCE 700 1- Berger David Operative Care Line, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1412-1418 1068-9265 18:5<1412 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer