The Association Between BMI and Nodal Harvest in Elective Colectomy for Colon Cancer

Abstract

publicly insured. PADLI had higher one-year ostomy closure rates (83.3% vs. 64.7%, p<0.01;); p<0.01) and shorter time-to-closure (median 82 days ; p<0.01) relative to HP. PADLI resulted in increased unplanned readmissions (HR¼2.88 ]; p<0.01), and fewer complications upon stoma closure (OR 0.62 [95%CI 0.49-0.78]; p<0.01) but not during the index admission (OR¼1.17 [95%CI 0.96-1.44]; p¼0.12).CONCLUSION: Most patients undergo HP for acute diverticulitis in the U.S. Those who undergo PADLI are more likely to undergo ostomy reversal and experience fewer postoperative complications upon stoma reversal. In agreement with national guidelines, these data support increasing the utilization of PADLI in appropriate cases of acute diverticulitis requiring operative treatment.