Laparoscopic vs open partial colectomy in elderly patients: Insights from the American College of Surgeons - National Surgical Quality Improvement Program database

Table 1 Preoperative characteristics of elderly patients undergoing partial colectomy before propensity score matching n (%)

Characteristics	Laparoscopic colectomy(n = 12009)	Open colectomy (n = 15595)	P value
Age, mean ± SD	75.94 ± 7.15	74.87 ± 6.92	< 0.001
BMI, mean ± SD	27.30 ± 6.38	27.17 ± 7.09	< 0.001
Gender			0.416
Female	7401 (61.6)	9536 (61.1)
Male	4608 (38.4)	6059 (38.9)
Procedure			< 0.001
Right partial colectomy	3122 (25.9)	3773 (24.2)
Left partial colectomy	6614 (55.1)	8492 (54.5)
Sigmoidectomy	2273 (19.0)	3330 (21.3)
Indication			< 0.001
Benign	4769 (39.7)	5447 (34.9)
Malignant	4544 (37.8)	7454 (47.8)
Unknown	2696 (22.4)	2694 (17.3)
ASA class
I	155 (1.2)	115 (0.7)
II	5418 (45.2)	4960 (31.8)
III	5956 (49.6)	9225 (59.2)
IV	477 (4.0)	1278 (8.2)
V	3 (0.02)	17 (0.1)
ASA III, IV or V	6436 (53.6)	10520 (67.5)	< 0.001
Alcohol	359 (2.9)	408 (2.6)	0.061
Current smoker	1062 (8.8)	1689 (10.8)	< 0.001
Cardiac diseases	8489 (70.7)	11350 (72.8)	< 0.001
Hypertension	8232 (68.5)	10936 (70.1)	0.005
History of CHF	119 (1.0)	297 (1.9)	< 0.001
History of MI	56 (0.5)	169 (1.1)	< 0.001
History of angina	80 (0.7)	200 (1.3)	< 0.001
History of PCI	957 (8.0)	1431 (9.2)	< 0.001
History of PCS	959 (8.0)	1495 (9.6)	< 0.001
Pulmonary diseases	836 (7.0)	1519 (9.7)	< 0.001
Dyspnea	1600 (13.3)	2723 (17.4)	< 0.001
History of COPD	821 (6.8)	1428 (9.2)	< 0.001
Ventilator dependent	4 (0.02)	58 (0.4)	< 0.001
Pneumonia	20 (0.2)	71 (0.5)	< 0.001
Neurological disease	994 (8.3)	1689 (10.8)	< 0.001
History of CVA	347 (2.9)	613 (3.9)	< 0.001
History of CVANO	355 (3.0)	591 (3.8)	< 0.001
History of TIA	516 (4.3)	801 (5.1)	0.002
History of tumor CNS	11 (0.1)	18 (0.1)	0.545
Renal diseases	62 (0.5)	173 (1.1)	< 0.001
History of renal failure	15 (0.1)	56 (0.4)	< 0.001
Dialysis dependent	52 (0.4)	137 (0.9)	< 0.001
Bleeding disorders	487 (4.1)	1009 (6.5)	< 0.001
Steroid use1	365 (3.0)	580 (3.7)	0.002
Diabetes	3166 (26.4)	3193 (20.5)	< 0.001

¹Use of steroid in the 30 d prior to surgery for a chronic medical condition. BMI: Body mass index; ASA: American Society of Anesthesiologists; CHF: Congestive heart failure; MI: Myocardial infarction; PCI: Percutaneous coronary intervention; PCS: Previous cardiac surgery; PVD: Peripheral vascular disease; COPD: Chronic pulmonary obstructive disease; CVA: Cerebrovascular accident with neurological deficit; CVANO: Cerebrovascular accident without neurological deficit; TIA: Transient ischemic attack; Tumor CNS: Tumor involving central nervous system.