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

Table 2 Preoperative characteristics of elderly patients undergoing partial colectomy after propensity score matching n (%)

Characteristics	Laparoscopic colectomy(n = 11008)	Open colectomy (n = 11008)	P value
Age
mean ± SD	75.12 ± 6.97	75.21 ± 6.98	0.857
median ± IQR	74 ± 11	74 ± 12	0.332
BMI (mean ± SD)	27.31 ± 6.42	27.23 ± 7.05	0.368
Gender			0.021
Female	6685 (60.7)	6852 (62.2)
Male	4323 (39.3)	4156 (37.8)
Procedure			0.013
Right partial colectomy	2549 (23.2)	2736 (24.8)	0.003
Left partial colectomy	6237 (56.7)	6099 (55.4)	0.061
Sigmoidectomy	2222 (20.1)	2173 (19.8)	0.409
Indication			< 0.001
Benign	4361 (39.6)	3966 (36.0)
Malignant	4193 (38.1)	5431 (49.3)
Unknown	2454 (22.3)	1611 (14.6)
ASA class
I	127 (1.1)	110 (1.0)
II	4563 (41.5)	4563 (41.5)
III	5852 (53.2)	5673 (51.5)
IV	463 (4.2)	658 (6.0)
V	3 (0.02)	4 (0.03)
ASA III, IV or V	6318 (57.4)	6335 (57.5)	0.817
Alcohol	341 (3.0)	289 (2.6)	0.036
Current smoker	1051 (9.5)	993 (9.0)	0.178
Cardiac diseases	7905 (71.8)	7845 (71.3)	0.370
Hypertension	7654 (69.5)	7614 (69.2)	0.559
History of CHF	116 (1.1)	134 (1.2)	0.252
History of MI	51 (0.5)	57 (0.5)	0.563
History of angina	75 (0.6)	86 (0.7)	0.384
History of PCI	902 (8.2)	807 (7.3)	0.017
History of PCS	924 (8.4)	894 (8.1)	0.463
Pulmonary diseases	815 (7.4)	778 (7.1)	0.336
Dyspnea	1526 (13.7)	1513 (13.7)	0.432
History of COPD	801 (7.3)	758 (6.9)	0.259
Ventilator dependent	3 (0.02)	3 (0.02)	1.000
Pneumonia	18 (0.2)	24 (0.2)	0.354
Neurological disease	921 (8.4)	896 (8.1)	0.540
History of CVA	333 (3.0)	305 (2.8)	0.261
History of CVANO	323 (2.9)	307 (2.8)	0.518
History of TIA	347 (3.2)	353 (3.2)	0.818
History of tumor CNS	10 (0.1)	6 (0.1)	0.317
Renal diseases	57 (0.5)	55 (0.5)	0.850
History of renal failure	12 (0.1)	13 (0.1)	0.841
Dialysis dependent	49 (0.4)	48 (0.4)	0.919
Bleeding disorders	466 (4.2)	425 (3.9)	0.161
Steroid use1	353 (3.2)	318 (2.9)	0.170
Diabetes	2077 (18.9)	2040 (18.5)	0.522

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.