Short Term Outcomes of Open and Minimally Invasive Approaches to Segmental Colectomy for Benign Colovesical Fistula

Table 4

Postoperative 30 days complications of patients with colovesical fistula by surgical approach (open vs. minimally invasive).

Complications	Minimally invasive approach total = 544	Open approach total = 204	Adjusted odd ratio (confidence interval)	values
Mortality	6 (1.1%)	5 (2.5%)	1.71 (0.23–12.27)	0.59
Overall morbidity	149 (27.4%)	88 (43.1%)	0.49 (0.27–0.87)	0.01
Severe morbidity	54 (10%)	43 (21.1%)	0.57 (0.31–0.90)	0.04
Ventilator dependency more than 48 hours	7 (1.3%)	7 (3.4%)	0.17 (0.008–3.60)	0.25
Prolonged ileus	64 (11.8%)	32 (15.8%)	0.50 (0.22–1.15)	0.10
Unplanned intubation	8 (1.5%)	9 (4.4%)	0.26 (0.01–6.12)	0.40
Pneumonia	9 (1.7%)	7 (3.4%)	0.07 (0.002–3.74)	0.19
Intra-abdominal infection	33 (6.1%)	17 (8.3%)	0.57 (0.19–1.70)	0.31
Superficial surgical site infection	20 (3.7%)	12 (5.9%)	0.46 (0.13–1.62)	0.23
Deep surgical site infection	1 (0.2%)	2 (1%)	0.98 (0.90–1.02)	0.99
Wound disruption	2 (0.4%)	4 (2%)	1.01 (0.91–1.11)	0.99
Sepsis	22 (4%)	20 (9.8%)	0.26 (0.08–0.80)	0.01
Septic shock	9 (1.7%)	7 (3.4%)	1.01 (0.90–1.10)	0.99
Hemorrhagic complications need transfusion	24 (4.4%)	25 (12.3%)	0.29 (0.10–0.83)	0.02
Unplanned reoperation	26 (4.8%)	21 (10.3%)	0.30 (0.07–1.28)	0.10
Deep venus thromboembolism	9 (1.7%)	2 (1%)	0.34 (0.03–3.15)	0.34
Pulmonary embolism	4 (0.7%)	1 (0.5%)	1.10 (0.90–1.19)	0.98
Central vascular accident (CVA)	0	1 (0.5%)
Cardiac arrest requiring cardiopulmonary resuscitation	1 (0.2%)	2 (1%)	1.01 (0.98–1.10)	0.99
Anastomosis leakage	20 (3.7%)	11 (5.4%)	0.31 (0.06–1.45)	0.14
Acute renal failure	5 (0.9%)	2 (1%)	1.01 (0.90–1.10)	0.98
Urinary tract infection	38 (7%)	18 (8.8%)	1.64 (0.57–4.76)	0.35
Progressive renal insufficiency	0	1 (0.5%)
Myocardial infarction	3 (0.6%)	2 (1%)	1.02 (0.90–1.10)	0.99

includes: intra-abdominal infection, sepsis, septic shock, ventilator dependency, cardiac arrest, acute renal failure, hemorrhagic complication needs transfusion, pulmonary embolism, myocardial infarction, pneumonia, central vascular accident, superficial surgical site infection, deep surgical site infection, unplanned reoperation, deep venus thromboembolism, urinary tract infection, progressive renal insufficiency, unplanned intubation, anastomosis leakage, prolonged ileus, and wound disruption.