A national propensity score-matched analysis of emergency laparoscopic versus open abdominal surgery.

ABSTRACT:

Background

Laparoscopy has been widely adopted in elective abdominal surgery but is still sparsely used in emergency settings. The study investigated the effect of laparoscopic emergency surgery using a population database.

Methods

Data for all patients from December 2013 to November 2018 were retrieved from the NELA national database of emergency laparotomy for England and Wales. Laparoscopically attempted cases were matched 2 : 1 with open cases for propensity score derived from a logistic regression model for surgical approach; included co-variates were age, gender, predicted mortality risk, and diagnostic, procedural and surgeon variables. Groups were compared for mortality. Secondary endpoints were blood loss and duration of hospital stay.

Results

Of 116 920 pati

SUBMITTER: Pucher PH 

PROVIDER: S-EPMC10364898 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature