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首页> 外文期刊>Surgical Endoscopy >Nationwide trends in laparoscopic colectomy from 2000 to 2004.
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Nationwide trends in laparoscopic colectomy from 2000 to 2004.

机译：2000年至2004年全国腹腔镜结肠切除术的趋势。

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BACKGROUND: Over the past 5 years, several studies have demonstrated that laparoscopic colon resection is an acceptable and perhaps preferable alternative to open resection for both benign diseases and cancer. The extent to which laparoscopic colon resections are used nationally is not known. METHODS: The Nationwide Inpatient Sample was used to identify laparoscopic and open elective colon resections performed in the United States each year from 2000 through 2004. The trends in adoption of the laparoscopic technique for each type of colon resection and for the most common diagnoses were identified, and differences in patient and provider characteristics were examined. RESULTS: From 2000 to 2004, the proportion of colon resections performed laparoscopically increased from 3% to 6.5%. The proportion performed for cancer increased from 1.4% to 4.3%, and for benign disease from 4.6% to 8.2%. Patients treated laparoscopically tended to be younger (median age, 61 years vs 66 years; p < 0.001) and to have fewer comorbidities (Charlson score of zero for 58.1% vs 37%; p < 0.001). Laparoscopic colon resections were more widely adopted in teaching versus nonteaching hospitals (5.1% vs 3.7%; p < 0.001) and in urban versus rural hospitals (4.7% vs 2.2%; p < 0.001). CONCLUSION: Although the proportion of colon resections performed laparoscopically increased in the first half of this decade, it has remained very low. This trend is similar across procedure types and diagnoses. It remains to be seen whether greater patient demand and more recent trials will result in wider adoption of the laparoscopic approach.
机译：背景：在过去的5年中，多项研究表明，对于良性疾病和癌症，腹腔镜结肠切除术是开放切除术的可接受且可能更好的选择。全国范围内使用腹腔镜结肠切除术的程度尚不清楚。方法：从2000年至2004年，每年在美国范围内使用全国住院患者样本来鉴定腹腔镜和开放性选择性结肠切除术。每种类型的结肠切除术和最常见的诊断方法均采用腹腔镜技术。 ，并检查了患者和提供者特征的差异。结果：从2000年到2004年，腹腔镜下进行结肠切除的比例从3％增加到6.5％。癌症所占比例从1.4％增加到4.3％，良性疾病所占比例从4.6％增加到8.2％。腹腔镜治疗的患者倾向于年轻（中位年龄为61岁vs 66岁; p <0.001），合并症较少（Charlson评分为零，分别为58.1％vs 37％; p <0.001）。腹腔镜结肠切除术在教学医院和非教学医院（5.1％vs 3.7％; p <0.001）和城市医院与乡村医院（4.7％vs 2.2％; p <0.001）中被更广泛地采用。结论：尽管在本十年的前半期腹腔镜下进行结肠切除的比例有所增加，但仍很低。跨过程类型和诊断的趋势相似。病人需求量的增加和最新的试验是否会导致腹腔镜方法的广泛采用还有待观察。

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