Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches.
Am J Surg
; 227: 85-89, 2024 Jan.
Article
em En
| MEDLINE
| ID: mdl-37806892
ABSTRACT
BACKGROUND:
We sought to examine differences in outcomes for Black and White patients undergoing robotic or laparoscopic colectomy to assess the potential impact of technological advancement.METHODS:
We queried the ACS-NSQIP database for elective robotic (RC) and laparoscopic (LC) colectomy for cancer from 2012 to 2020. Outcomes included 30-day mortality and complications. We analyzed the association between outcomes, operative approach, and race using multivariable logistic regression.RESULTS:
We identified 64,460 patients, 80.9% laparoscopic and 19.1% robotic. RC patients were most frequently younger, male, and White, with fewer comorbidities (P â< â0.001). After adjustment, there was no difference in mortality by approach or race. Black patients who underwent LC had higher complications (OR 1.10, 95% CI 1.03-1.08, P â= â0.005) than their White LC counterparts and RC patients.CONCLUSIONS:
Robotic colectomy was associated with lower rates of complications in minority patients. Further investigation is required to identify the causal pathway that leads to our finding.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Neoplasias do Colo
/
Procedimentos Cirúrgicos Robóticos
Tipo de estudo:
Prognostic_studies
Limite:
Humans
/
Male
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2024
Tipo de documento:
Article