International Journal of Colorectal Disease

, Volume 33, Issue 6, pp 663–681 | Cite as

What have we learned in minimally invasive colorectal surgery from NSQIP and NIS large databases? A systematic review

  • Gabriela Batista Rodríguez
  • Andrea Balla
  • Santiago Corradetti
  • Carmen Martinez
  • Pilar Hernández
  • Jesús Bollo
  • Eduard M. Targarona



“Big data” refers to large amount of dataset. Those large databases are useful in many areas, including healthcare. The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) and the National Inpatient Sample (NIS) are big databases that were developed in the USA in order to record surgical outcomes. The aim of the present systematic review is to evaluate the type and clinical impact of the information retrieved through NISQP and NIS big database articles focused on laparoscopic colorectal surgery.


A systematic review was conducted using The Meta-Analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. The research was carried out on PubMed database and revealed 350 published papers. Outcomes of articles in which laparoscopic colorectal surgery was the primary aim were analyzed.


Fifty-five studies, published between 2007 and February 2017, were included. Articles included were categorized in groups according to the main topic as: outcomes related to surgical technique comparisons, morbidity and perioperatory results, specific disease-related outcomes, sociodemographic disparities, and academic training impact.


NSQIP and NIS databases are just the tip of the iceberg for the potential application of Big Data technology and analysis in MIS. Information obtained through big data is useful and could be considered as external validation in those situations where a significant evidence-based medicine exists; also, those databases establish benchmarks to measure the quality of patient care. Data retrieved helps to inform decision-making and improve healthcare delivery.


NSQIP NIS Big data Laparoscopic colorectal surgery Systematic literature review 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.


  1. 1.
    Binder H, Blettner M (2015) Big data in medical science—a bioestadistical view. Dtsch Arztebl Int 112:137–142. PubMedPubMedCentralGoogle Scholar
  2. 2.
    Andreu-Perez J, Poon CC, Merrifield RD, Wong ST, Yang GZ (2010) Big data for health. IEEE J Biomed Health Inform 19(4):1193–1208. CrossRefGoogle Scholar
  3. 3.
    Cook JA, Collins GS (2015) The rise of big clinical databases. Br J Surg 102(2):e93–e101. CrossRefPubMedGoogle Scholar
  4. 4.
    Khuri SF, Daley J, Henderson W, Hur K, Demakis J, Aust JB, Chong V, Fabri PJ, Gibbs JO, Grover F, Hammermeister K, Irvin G 3rd, McDonald G, Jr PE, Phillips L, Scamman F, Spencer J, Stremple JF (1998) The Department of Veterans Affairs’ NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. Nat VA Surg Qual Improv Progr Ann Surg 228(4):491–507Google Scholar
  5. 5.
    Houchens R, Ross, D, Elixhauser A, Jiang J. (2014). Nationwide Inpatient Sample (NIS) redesign final report. HCUP Methods Series Report # 2014-04 ONLINE. April 4, 2014. U.S. Agency for Healthcare Research and Quality. Available:
  6. 6.
    Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 283(15):2008–2012CrossRefPubMedGoogle Scholar
  7. 7.
    Hall BL, Hamilton BH, Richards K, Bilimoria KY, Cohen ME, Ko CY (2009) Does surgical quality improve in the American College of Surgeons National Surgical Quality Improvement Program: an evaluation of all participating hospitals. Ann Surg. 250(3):363–376. PubMedGoogle Scholar
  8. 8.
    Etzioni DA, Wasif N, Dueck AC, Cima RR, Hohmann SF, Naessens JM, Mathur AK, Habermann EB (2015) Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. JAMA 313(5):505–511. CrossRefPubMedGoogle Scholar
  9. 9.
    Quality AfHRa. Healthcare Cost and Utilization Project (HCUP) Net: National Inpatient Sample (NIS). 2006–2009. http://
  10. 10.
    Overview of the Nationwide Inpatient Sample (NIS). (2013). Accessed July 2, 2014
  11. 11.
    Cohen ME, Liu Y, Huffman KM, Ko CY, Hall BL (2016) On-demand reporting of risk-adjusted and smoothed rates for quality profiling in ACS NSQIP. Ann Surg 264(6):966–972CrossRefPubMedGoogle Scholar
  12. 12.
    Andrews RM, Russo CA, Pancholi M. Trends in hospital risk-adjusted mortality for select diagnoses and procedures, 1994–2004: statistical brief #38. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006–2007 Oct.Google Scholar
  13. 13.
    McCloskey CA, Wilson MA, Hughes SJ, Eid GM (2007) Laparoscopic colorectal surgery is safe in the high-risk patient: a NSQIP risk-adjusted analysis. Surgery 142(4):594–597 discussion 597.e1–2. Erratum in: Surgery. 2008 Feb;143(2):301CrossRefPubMedGoogle Scholar
  14. 14.
    Ballian N, Weisensel N, Rajamanickam V, Foley EF, Heise CP, Harms BA, Kennedy GD (2012) Comparable postoperative morbidity and mortality after laparoscopic and open emergent restorative colectomy: outcomes from the ACS NSQIP. World J Surg 36(10):2488–2496. CrossRefPubMedGoogle Scholar
  15. 15.
    Cone MM, Herzig DO, Diggs BS, Rea JD, Hardiman KM, Lu KC (2012) Effect of surgical approach on 30-day mortality and morbidity after elective colectomy: a NSQIP study. J Gastrointest Surg 16(6):1212–1217. CrossRefPubMedGoogle Scholar
  16. 16.
    Wilson MZ, Hollenbeak CS, Stewart DB (2014) Laparoscopic colectomy is associated with a lower incidence of postoperative complications than open colectomy: a propensity score-matched cohort analysis. Colorectal Dis 16(5):382–389. CrossRefPubMedGoogle Scholar
  17. 17.
    Bilimoria KY, Bentrem DJ, Merkow RP, Nelson H, Wang E, Ko CY, Soper NJ (2008) Laparoscopic-assisted vs. open colectomy for cancer: comparison of short-term outcomes from 121 hospitals. J Gastrointest Surg 12(11):2001–2009. CrossRefPubMedGoogle Scholar
  18. 18.
    Ozhathil DK, Li Y, Smith JK, Witkowski E, Coyne ER, Alavi K, Tseng JF, Shah SA (2011) Colectomy performance improvement within NSQIP 2005–2008. J Surg Res 171(1):e9–e13.
  19. 19.
    Webb S, Rubinfeld I, Velanovich V, Horst HM, Reickert C (2012) Using National Surgical Quality Improvement Program (NSQIP) data for risk adjustment to compare Clavien 4 and 5 complications in open and laparoscopic colectomy. Surg Endosc 26(3):732–737. CrossRefPubMedGoogle Scholar
  20. 20.
    Wilson MZ, Dillon PW, Hollenbeak CS, Stewart DB (2014) How do risk factors for mortality and overall complication rates following laparoscopic and open colectomy differ between inpatient and post-discharge phases of care? A retrospective cohort study from NSQIP. Surg Endosc 28(12):3392–3400. CrossRefPubMedGoogle Scholar
  21. 21.
    Kannan U, Reddy VS, Mukerji AN, Parithivel VS, Shah AK, Gilchrist BF, Farkas DT (2015) Laparoscopic vs open partial colectomy in elderly patients: insights from the American College of Surgeons—National Surgical Quality Improvement Program database. World J Gastroenterol 21(45):12843–12850. CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Schlussel AT, Lustik MB, Johnson EK, Maykel JA, Champagne BJ, Goldberg JE, Steele SR (2015) Do the advantages of a minimally invasive approach remain in complex colorectal procedures? A nationwide comparison. Dis Colon Rectum 58(4):431–443. CrossRefPubMedGoogle Scholar
  23. 23.
    Dolejs SC, Waters JA, Ceppa EP, Zarzaur BL. (2016). Laparoscopic versus robotic colectomy: a national surgical quality improvement project analysis. Surg Endosc Sep 21. [Epub ahead of print]Google Scholar
  24. 24.
    Miller PE, Dao H, Paluvoi N, Bailey M, Margolin D, Shah N, Vargas HD (2016) Comparison of 30-day postoperative outcomes after laparoscopic vs robotic colectomy. J Am Coll Surg 223(2):369–373. CrossRefPubMedGoogle Scholar
  25. 25.
    Ezekian B, Sun Z, Adam MA, Kim J, Turner MC, Gilmore BF, Ong CT, Mantyh CR, Migaly J (2016) Robotic-assisted versus laparoscopic colectomy results in increased operative time without improved perioperative outcomes. J Gastrointest Surg 20(8):1503–1510. CrossRefPubMedGoogle Scholar
  26. 26.
    Bhama AR, Obias V, Welch KB, Vandewarker JF, Cleary RK (2016) A comparison of laparoscopic and robotic colorectal surgery outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Surg Endosc 30(4):1576–1584. CrossRefPubMedGoogle Scholar
  27. 27.
    Benlice C, Aytac E, Costedio M, Kessler H, Abbas MA, Remzi FH, Gorgun E. (2016). Robotic, laparoscopic, and open colectomy: a case-matched comparison from the ACS-NSQIP. Int J Med Robot.
  28. 28.
    Moghadamyeghaneh Z, Hanna MH, Carmichael JC, Pigazzi A, Stamos MJ, Mills S (2016) Comparison of open, laparoscopic, and robotic approaches for total abdominal colectomy. Surg Endosc 30(7):2792–2798. CrossRefPubMedGoogle Scholar
  29. 29.
    Papageorge CM, Zhao Q, Foley EF, Harms BA, Heise CP, Carchman EH, Kennedy GD (2016) Short term outcomes of minimally invasive versus open colectomy for colon cancer. JSurg Res 204(1):83–93. CrossRefGoogle Scholar
  30. 30.
    Benlice C, Costedio M, Stocchi L, Abbas MA, Gorgun E (2016) Hand-assisted laparoscopic vs open colectomy: an assessment from the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted cohort. Am J SurgNov 212(5):808–813. CrossRefGoogle Scholar
  31. 31.
    Benlice C, Costedio M, Kessler H, Remzi FH, Gorgun E (2012) Comparison of straight vs hand-assisted laparoscopic colectomy: an assessment from the NSQIP procedure- targeted cohort. Am J Surg 212(3):406–412. CrossRefGoogle Scholar
  32. 32.
    Moghadamyeghaneh Z, Carmichael JC, Mills S, Pigazzi A, Nguyen NT, Stamos MJ (2015) Hand-assisted laparoscopic approach in colon surgery. J Gastrointest Surg 19(11):2045–2053. CrossRefPubMedGoogle Scholar
  33. 33.
    Stewart DB, Hollenbeak C, Boltz M (2011) Laparoscopic and open abdominoperineal resection for cancer: how patient selection and complications differ by approach. J Gastrointest Surg 15(11):1928–1938. CrossRefPubMedGoogle Scholar
  34. 34.
    Schlussel AT, Lustik MB, Johnson EK, Maykel JA, Champagne BJ, Goldberg JE, Steele SR (2015) A population-based comparison of open versus minimally invasive abdominoperineal resection. Am J Surg 209(5):815–23; discussion 823. CrossRefPubMedGoogle Scholar
  35. 35.
    Greenblatt DY, Rajamanickam V, Pugely AJ, Heise CP, Foley EF, Kennedy GD (2011) Short-term outcomes after laparoscopic-assisted proctectomy for rectal cancer: results from the ACS NSQIP. J Am Coll Surg 212(5):844–854. CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Arkenbosch J, Miyagaki H, Kumara HM, Yan X, Cekic V, Whelan RL (2015) Efficacy of laparoscopic-assisted approach for reversal of Hartmann’s procedure: results from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Surg Endosc 29(8):2109–2114. CrossRefPubMedGoogle Scholar
  37. 37.
    Young MT, Jafari MD, Phelan MJ, Stamos MJ, Mills S, Pigazzi A, Carmichael JC (2015) Surgical treatments for rectal prolapse: how does a perineal approach compare in the laparoscopic era? Surg Endosc 29(3):607–613. CrossRefPubMedGoogle Scholar
  38. 38.
    Onder A, Benlice C, Church J, Kessler H, Gorgun E (2016) Short-term outcomes of laparoscopic versus open total colectomy with ileorectal anastomosis: a case-matched analysis from a nationwide database. Tech Coloproctol 20(11):767–773CrossRefPubMedGoogle Scholar
  39. 39.
    Nfonsam V, Aziz H, Pandit V, Khalil M, Jandova J, Joseph B (2016) Analyzing clinical outcomes in laparoscopic right vs. left colectomy in colon cancer patients using the NSQIP database. Cancer Treat Commun 8:1–4CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Lesperance K, Martin MJ, Lehmann R, Brounts L, Steele SR (2009) National trends and outcomes for the surgical therapy of ileocolonic Crohn’s disease: a population-based analysis of laparoscopic vs. open approaches. J Gastrointest Surg 13(7):1251–1259. CrossRefPubMedGoogle Scholar
  41. 41.
    Kirat HT, Pokala N, Vogel JD, Fazio VW, Kiran RP (2010) Can laparoscopic ileocolic resection be performed with comparable safety to open surgery for regional enteritis: data from National Surgical Quality Improvement Program. Am Surg 76(12):1393–1396PubMedGoogle Scholar
  42. 42.
    Lee Y, Fleming FJ, Deeb AP, Gunzler D, Messing S, Monson JR (2012) A laparoscopic approach reduces short-term complications and length of stay following ileocolic resection in Crohn’s disease: an analysis of outcomes from the NSQIP database. Colorectal Dis 14(5):572–577. CrossRefPubMedGoogle Scholar
  43. 43.
    Causey MW, Stoddard D, Johnson EK, Maykel JA, Martin MJ, Rivadeneira D, Steele SR (2013) Laparoscopy impacts outcomes favorably following colectomy for ulcerative colitis: a critical analysis of the ACS-NSQIP database. Surg Endosc 27(2):603–609. CrossRefPubMedGoogle Scholar
  44. 44.
    Masoomi H, Buchberg B, Nguyen B, Tung V, Stamos MJ, Mills S (2011) Outcomes of laparoscopic versus open colectomy in elective surgery for diverticulitis. World J Surg 35(9):2143–2148. CrossRefPubMedGoogle Scholar
  45. 45.
    Kakarla VR, Nurkin SJ, Sharma S, Ruiz DE, Tiszenkel H (2012) Elective laparoscopic versus open colectomy for diverticulosis: an analysis of ACS-NSQIP database. Surg Endosc 26(7):1837–1842. CrossRefPubMedGoogle Scholar
  46. 46.
    Mbadiwe T, Obirieze AC, Cornwell EE 3rd, Turner P, Fullum TM (2013) Surgical management of complicated diverticulitis: a comparison of the laparoscopic and open approaches. J Am Coll Surg 216(4):782–8; discussion 788-90. CrossRefPubMedGoogle Scholar
  47. 47.
    Schlussel AT, Lustik MB, Cherng NB, Maykel JA, Hatch QM, Steele SR (2016) Right-sided diverticulitis requiring colectomy: an evolving demographic? A review of surgical outcomes from the National Inpatient Sample Database. J Gastrointest Surg 20(11):1874–1885CrossRefPubMedGoogle Scholar
  48. 48.
    Mustain WC, Davenport DL, Hourigan JS, Vargas HD (2012) Obesity and laparoscopic colectomy: outcomes from the ACS-NSQIP database. Dis Colon Rectum 55(4):429–435. CrossRefPubMedGoogle Scholar
  49. 49.
    Bhama AR, Charlton ME, Schmitt MB, Cromwell JW, Byrn JC (2015) Factors associated with conversion from laparoscopic to open colectomy using the National Surgical Quality Improvement Program (NSQIP) database. Colorectal Dis 17(3):257–264. CrossRefPubMedPubMedCentralGoogle Scholar
  50. 50.
    Moghadamyeghaneh Z, Masoomi H, Mills SD, Carmichael JC, Pigazzi A, Nguyen NT, Stamos MJ (2014) Outcomes of conversion of laparoscopic colorectal surgery to open surgery. JSLS 18(4):e2014.00230. CrossRefPubMedPubMedCentralGoogle Scholar
  51. 51.
    Speicher PJ, Englum BR, Jiang B, Pietrobon R, Mantyh CR, Migaly J (2014) The impact of laparoscopic versus open approach on reoperation rate after segmental colectomy: a propensity analysis. J Gastrointest Surg 18(2):378–384. CrossRefPubMedGoogle Scholar
  52. 52.
    Esemuede IO, Gabre-Kidan A, Fowler DL, Kiran RP (2015) Risk of readmission after laparoscopic vs. open colorectal surgery. Int J Colorectal Dis 30(11):1489–1494. CrossRefPubMedGoogle Scholar
  53. 53.
    Stefanou AJ, Reickert CA, Velanovich V, Falvo A, Rubinfeld I (2012) Laparoscopic colectomy significantly decreases length of stay compared with open operation. Surg Endosc 26(1):144–148. CrossRefPubMedGoogle Scholar
  54. 54.
    Aimaq R, Akopian G, Kaufman HS (2011) Surgical site infection rates in laparoscopic versus open colorectal surgery. Am Surg 77(10):1290–1294PubMedGoogle Scholar
  55. 55.
    Kiran RP, El-Gazzaz GH, Vogel JD, Remzi FH (2010) Laparoscopic approach significantly reduces surgical site infections after colorectal surgery: data from national surgical quality improvement program. J Am Coll Surg 211(2):232–238. CrossRefPubMedGoogle Scholar
  56. 56.
    Murray AC, Chiuzan C, Kiran RP (2016) Risk of anastomotic leak after laparoscopic versus open colectomy. Surg Endosc 30(12):5275–5282CrossRefPubMedGoogle Scholar
  57. 57.
    Owen RM, Perez SD, Lytle N, Patel A, Davis SS, Lin E, Sweeney JF (2013) Impact of operative duration on postoperative pulmonary complications in laparoscopic versus open colectomy. Surg Endosc 27(10):3555–3563. CrossRefPubMedGoogle Scholar
  58. 58.
    Isik O, Aytac E, Ashburn J, Ozuner G, Remzi F, Costedio M, Gorgun E (2015) Does laparoscopy reduce splenic injuries during colorectal resections? An assessment from the ACS-NSQIP database. Surg Endosc 29(5):1039–1044. CrossRefPubMedGoogle Scholar
  59. 59.
    Buchberg B, Masoomi H, Lusby K, Choi J, Barleben A, Magno C, Lane J, Nguyen N, Mills S, Stamos MJ (2011) Incidence and risk factors of venous thromboembolism in colorectal surgery: does laparoscopy impart an advantage? Arch Surg 146(6):739–743. CrossRefPubMedGoogle Scholar
  60. 60.
    Shapiro R, Vogel JD, Kiran RP (2011) Risk of postoperative venous thromboembolism after laparoscopic and open colorectal surgery: an additional benefit of the minimally invasive approach? Dis Colon Rectum 54(12):1496–1502. CrossRefPubMedGoogle Scholar
  61. 61.
    Singla A, Simons JP, Carroll JE, Li Y, Ng SC, Tseng JF, Shah SA (2010) Hospital volume as a surrogate for laparoscopically assisted colectomy. Surg Endosc 24(3):662–669. CrossRefPubMedGoogle Scholar
  62. 62.
    Robinson CN, Balentine CJ, Sansgiry S, Berger DH (2012) Disparities in the use of minimally invasive surgery for colorectal disease. J Gastrointest Surg. May;16(5):897–903; discussion 903-4.
  63. 63.
    Shaligram A, Smith L, Pallati P, Simorov A, Meza J, Oleynikov D (2013) Can laparoscopy for colon resection reduce the need for discharge to skilled care facility? Surg Endosc 27(11):4038–4043. CrossRefPubMedGoogle Scholar
  64. 64.
    Bardakcioglu O, Khan A, Aldridge C, Chen J (2013) Growth of laparoscopic colectomy in the United States: analysis of regional and socioeconomic factors over time. Ann Surg 258(2):270–274. CrossRefPubMedGoogle Scholar
  65. 65.
    Alnasser M, Schneider EB, Gearhart SL, Wick EC, Fang SH, Haider AH, Efron JE (2014) National disparities in laparoscopic colorectal procedures for colon cancer. Surg Endosc 28(1):49–57. CrossRefPubMedGoogle Scholar
  66. 66.
    Lassiter RL, Talukder A, Abrams MM, Adam BL, Albo D, White CQ (2016) Racial disparities in the use of laparoscopic surgery to treat colonic diverticulitis are not fully explained by socioeconomics or disease complexity. Am J Surg 9610(16):30895–30899. Google Scholar
  67. 67.
    Vaid S, Tucker J, Bell T, Grim R, Ahuja V (2012) Cost analysis of laparoscopic versus open colectomy in patients with colon cancer: results from a large nationwide population database. Am Surg 78(6):635–641PubMedGoogle Scholar
  68. 68.
    Sippey M, Spaniolas K, Manwaring M, Pofahl W, Kasten K (2016) Surgical resident involvement differentially affects patient outcomes in laparoscopic and open colectomy for malignancy. Am J Surg 211(6):1026–1034. CrossRefPubMedGoogle Scholar
  69. 69.
    Schlussel AT, Delaney CP, Maykel JA, Lustik MB, Nishtala M, Steele SRA (2016) National Database Analysis comparing the Nationwide Inpatient Sample and American College of Surgeons National Surgical Quality Improvement Program in laparoscopic vs open colectomies: inherent variance may impact outcomes. Dis Colon Rectum 59(9):843–854. CrossRefPubMedGoogle Scholar
  70. 70.
    Hudis CA (2015) Big data: Are large prospective randomized trials obsolete in the future? Breast 24(Suppl 2):S15–S18. CrossRefPubMedGoogle Scholar
  71. 71.
    Rumsfeld JS, Joynt KE, Maddox TM (2016) Big data analytics to improve cardiovascular care: promise and challenges. Nat Rev Cardiol 13:350–359CrossRefPubMedGoogle Scholar
  72. 72.
    Schwenk W, Haase O, Neudecker J, Muller JM. (2005). Short term benefits for laparoscopic colorectal resection Cochrane Database Syst Rev: CD003145
  73. 73.
    Lorenzon L, La Torre M, Ziparo V, Montebelli F, Mercantini P, Balducci G, Ferri M (2014) Evidence based medicine and surgical approaches for colon cancer: evidences, benefits and limitations of the laparoscopic vs open resection. World J Gastroenterol 20(13):3680–3692 Available from: URL: http://www.wjgnet. com/1007–9327/full/v20/i13/3680.htm. CrossRefPubMedPubMedCentralGoogle Scholar
  74. 74.
    Jayne D, Pigazzi A, Marshall H, Croft J, Corrigan N, Copeland J, Quirke P, West N, Rautio T, Thomassen N, Tilney H, Gudgeon M, Bianchi PP, Edlin R, Hulme C, Brown J (2017) Effect of robotic-assisted vs conventional laparoscopic surgery on risk of conversion to open laparotomy among patients undergoing resection for rectal cancer: the ROLARR randomized clinical trial. JAMA 318(16):1569–1580. CrossRefPubMedPubMedCentralGoogle Scholar
  75. 75.
    Targarona E, Gracia E, Garriga J, Martínez C, Cortés M, Boluda R, Lerma L, Trías M (2002) Prospective randomized trial comparing conventional laparoscopic colectomy with hand-assisted laparoscopic colectomy: applicability, immediate clinical outcome, inflammatory response, and cost. Surg Endosc 16:234–239. CrossRefPubMedGoogle Scholar
  76. 76.
    Marcello PW, Fleshman JW, Milsom JW, Read TE, Arnell TD, Birnbaum EH, Feingold DL, Lee SW, Mutch MG, Sonoda T, Yan Y, Whelan RL (2008) Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Dis Colon Rectum 51(6):818–826; discussion 826–8. CrossRefPubMedGoogle Scholar
  77. 77.
    Noel JK, Fahrbach K, Estok R, Cella C, Frame D, Linz H, Cima RR, Dozois EJ, Senagore AJ (2007) Minimally invasive colorectal resection outcomes: short-term comparison with open procedures. J Am Coll Surg 204(2):291–307. CrossRefPubMedGoogle Scholar
  78. 78.
    Ng SS, Leung KL, Lee JF, Yiu RY, Li JC, Teoh AY, Leung WW (2008) Laparoscopic-assisted versus open abdominoperineal resection for low rectal cancer: a prospective randomized trial. Ann Surg Oncol 15(9):2418–2425. CrossRefPubMedGoogle Scholar
  79. 79.
    Bonjer H, Deijen CH, Abis G, Cuesta M, van der Pas M, Lange-de Klerk E, Lacy A, Bemelman W, Andersson J, Angenete E, Rosenberg J, Fuerst A, Haglind E, for the COLOR II Study Group (2015) A randomized trial of laparoscopic versus open surgery for rectal Cancer. N Engl J Med 372:1324–1332. CrossRefPubMedGoogle Scholar
  80. 80.
    Jackson TD, Kaplan GG, Arena G, Page JH, Rogers SO Jr (2007) Laparoscopic versus open resection for colorectal cancer: a metaanalysis of oncologic outcomes. J Am Coll Surg Mar 204(3):439–446. CrossRefGoogle Scholar
  81. 81.
    Maartense S, Dunker MS, Slors JF, Cuesta MA, Pierik EG, Gouma DJ, Hommes DW, Sprangers MA, Bemelman WA (2006) Laparoscopic-assisted versus open ileocolic resection for Crohn’s disease: a randomized trial. Ann Surg 243(2):143–149; discussion 150–3. CrossRefPubMedPubMedCentralGoogle Scholar
  82. 82.
    Patel SV, Patel SV, Ramagopalan SV, Ott MC (2013) Laparoscopic surgery for Crohn’s disease: a meta-analysis of perioperative complications and long term outcomes compared with open surgery. BMC Surg 13:14. CrossRefPubMedPubMedCentralGoogle Scholar
  83. 83.
    Ahmed Ali U, Keus F, Heikens JT, Bemelman WA, Berdah SV, Gooszen HG, van Laarhoven CJ. (2009). Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis. Cochrane Database Syst Rev. (1):CD006267.
  84. 84.
    Klarenbeek BR, Veenhof AA, Bergamaschi R, van der Peet DL, van den Broek WT, de Lange ES, Bemelman WA, Heres P, Lacy AM, Engel AF, Cuesta MA (2009) Laparoscopic sigmoid resection for diverticulitis decreases major morbidity rates: a randomized control trial: short-term results of the Sigma Trial. Ann Surg 249(1):39–44. CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.General and Digestive Surgery Unit, Hospital de la Santa Creu i Sant PauUAB Universidad Autónoma de BarcelonaBarcelonaSpain
  2. 2.Surgical Oncology Unit, Department of Hemato-Oncology, Hospital Dr. Rafael A. Calderón GuardiaCaja Costarricense del Seguro SocialSan JoséCosta Rica
  3. 3.Department of General Surgery and Surgical Specialties “Paride Stefanini”Sapienza, University of RomeRomeItaly

Personalised recommendations