Racial Disparities in Complications Following Elective Colon Cancer Resection: Impact of Laparoscopic Versus Robotic Approaches

Overview

Journal Am J Surg

Specialty General Surgery

Date 2023 Oct 8

PMID 37806892

Authors

Vanita Ahuja

Lucero G Paredes

Ira L Leeds

Melissa F Perkal

Ayaka Tsutsumi

Shaan Bhandarkar

Joseph T King Jr

Affiliations

Soon will be listed here.

Abstract

Background: We sought to examine differences in outcomes for Black and White patients undergoing robotic or laparoscopic colectomy to assess the potential impact of technological advancement.

Methods: We queried the ACS-NSQIP database for elective robotic (RC) and laparoscopic (LC) colectomy for cancer from 2012 to 2020. Outcomes included 30-day mortality and complications. We analyzed the association between outcomes, operative approach, and race using multivariable logistic regression.

Results: We identified 64,460 patients, 80.9% laparoscopic and 19.1% robotic. RC patients were most frequently younger, male, and White, with fewer comorbidities (P < 0.001). After adjustment, there was no difference in mortality by approach or race. Black patients who underwent LC had higher complications (OR 1.10, 95% CI 1.03-1.08, P = 0.005) than their White LC counterparts and RC patients.

Conclusions: Robotic colectomy was associated with lower rates of complications in minority patients. Further investigation is required to identify the causal pathway that leads to our finding.

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