Research Article

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

Table 5

Postoperative 30 days complications of patients with colovesical fistula by surgical approach (laparoscopic vs. robotic).

ComplicationsRobotic approach total = 74Laparoscopic approach total = 470Adjusted odd ratio (confidence interval) values

Mortality1 (1.4%)5 (1.1%)0.26 (0.19–1.12xcd)0.98
Overall morbidity21 (28.4%)128 (27.2%)0.87 (0.34–2.19)0.77
Severe morbidity3 (4.2%)51 (10.9%)0.11 (0.01–1.20)0.07
Ventilator dependency more than 48 hours1 (1.4%)6 (1.3%)1.01 (0.90–1.12)0.99
Prolonged ileus8 (10.8%)56 (11.9%)1.29 (0.34–4.80)0.70
Unplanned intubation2 (2.7%)6 (1.3%)2.69 (0.70–3.11)0.99
Pneumonia1 (1.4%)8 (1.7%)0.98 (0.88–1.12)0.99
Intra-abdominal infection2 (2.7%)31 (6.6%)0.90 (0.80–1.20)0.99
Superficial surgical site infection2 (2.7%)18 (3.8%)4.52 (0.30–67.99)0.27
Deep surgical site infection01 (0.2%)
Wound disruption02 (0.4%)
Sepsis1 (1.4%)21 (4.5%)0.90 (0.80–1.20)0.99
Septic shock1 (1.4%)8 (1.7%)0.92 (0.82–1.10)0.97
Hemorrhagic complications need transfusion2 (2.7%)22 (4.7%)0.78 (0.03–12.82)0.66
Unplanned reoperation2 (2.7%)24 (5.1%)0.94 (0.88–1.10)0.98
Deep venus thromboembolism1 (1.4%)8 (1.7%)0.89 (10.80–1.03)0.99
Pulmonary embolism04 (0.9%)
Central vascular accident (CVA)00
Cardiac arrest requiring cardiopulmonary resuscitation01 (0.2%)
Anastomosis leakage2 (2.8%)18 (3.8%)0.90 (0.88–1.07)0.98
Acute renal failure05 (1.1%)
Urinary tract infection7 (9.5%)31 (6.6%)1.25 (0.33–4.62)0.75
Progressive renal insufficiency00
Myocardial infarction03 (0.6%)

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. includes: intra-abdominal infection, septic shock, ventilator dependency, cardiac arrest, acute renal failure, pulmonary embolism, myocardial infarction, pneumonia, unplanned reoperation, anastomosis leakage, and unplanned intubation. at least in one group of the patients there was not any case to compare.