Am Surg. 2026 Jun 29:31348261465403. doi: 10.1177/00031348261465403. Online ahead of print.
ABSTRACT
BackgroundIt is difficult to predict which patients will have longer postoperative hospital stays after rectal cancer surgery. We aimed to determine the predictors of a long hospital stay following abdominoperineal resection (APR) for rectal cancer.MethodsRetrospective cohort analysis of patients diagnosed with rectal adenocarcinoma in the National Cancer Database between 2015 and 2019 with clinical stage I-IV cancers who underwent APR. Multiple linear regression analysis was conducted to determine the predictors of a long hospital stay. A statistical calculator was created to predict the in-hospital length of stay.Results7470 patients (63.2% males; mean age: 62.3 years) were included. Median hospital stay was 6 (IQR: 4-8) days. Black patients stayed nearly two days longer compared to other patients (1.9; 95% CI: 1.33-2.49, P < 0.001). Patients with a Charlson Deyo Score of 3 also had a longer length of stay (1.96, 95% CI: 1.02-2.91, P < .001). Robotic surgery was associated with shorter hospital stays (-0.7 days, 95% CI – 1.1, -0.4, P < .001), while conversion from minimally invasive to open surgery was associated with a longer hospital stay (1.1 days, 95% CI: 0.55-1.68, P < .001).ConclusionOlder age, black race, male sex, and severe comorbidities were associated with longer hospital stays, while minimally invasive surgery was associated with decreased length of stay.
PMID:42372118 | DOI:10.1177/00031348261465403
