Short-term Outcomes of Laparoscopic Versus Open Treatment of Internal Enteric Fistulae: A Logistic Regression Analysis

Renee Huang, Alan Harzman, Mark Arnold, Nyle Hendrickson, Mahmoud Abdel-Rasoul, Syed Husain

Research output: Contribution to journalArticle

Abstract

Although laparoscopy improves outcomes for common general surgical procedures, its role in complex colorectal procedures is not clearly defined. We sought to evaluate whether laparoscopy retains its short-term benefits when used for treatment of complex intra-abdominal fistulae. A retrospective analysis was conducted including patients undergoing surgeries for enteric fistulas over a 7-year period. The χ 2 tests, the Fisher exact tests, and Student t tests were used. Logistic regression models were used to assess the relationship between outcome and predictors. A total of 74 patients (31 open, 43 laparoscopic) were included. There was no difference in age, sex, body mass index, and comorbidities between the 2 groups. The laparoscopic group had significantly shorter length of stay, estimated blood loss, and significantly lower incidence of major complications compared with open group. Our findings suggest that laparoscopy is safe and retains its short-term benefits for treatment of complex colorectal and small bowel procedures.

Original languageEnglish (US)
Pages (from-to)250-255
Number of pages6
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume28
Issue number4
DOIs
StatePublished - Aug 1 2018
Externally publishedYes

Keywords

  • colorectal surgery
  • enteric fistula surgery
  • laparoscopic fistula surgery

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Short-term Outcomes of Laparoscopic Versus Open Treatment of Internal Enteric Fistulae: A Logistic Regression Analysis'. Together they form a unique fingerprint.

  • Cite this