{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:40:26Z","timestamp":1787956826805,"version":"build-2784847793"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100010477","name":"Intuitive Surgical","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010477","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Opioid dependence is a public health crisis and surgery is a risk factor for long-term opioid use. Though minimally invasive surgery (MIS) is associated with less perioperative pain, demonstrating an association with less long-term opioid use would be another reason to justify adoption of minimally invasive techniques. We compared the rates for long-term opioid prescriptions among patients in a large national database who underwent minimally invasive and open colectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Using the MarketScan Database, we retrospectively analyzed patients undergoing colon resection for benign and malignant diseases between 2013 and 2017. Among opioid-na\u00efve patients who had\u2009\u2265\u20091 opioid prescriptions filled perioperatively (30\u00a0days before surgery to 14\u00a0days after discharge), propensity score matching was applied for group comparisons [open (OS) versus MIS, and laparoscopic (LS) versus robotic-assisted surgery (RS)]. The primary outcome was long-term opioid use defined as the proportion of patients with\u2009\u2265\u20091 long-term opioid prescriptions filled 90\u2013180\u00a0days after discharge. Risks factors for long-term opioid use were assessed using logistic regression.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Among the 5413 matched pairs in the MIS versus OS cohorts, MIS significantly reduced long-term opioid use of \u2018any opioids\u2019 (13.3% vs. 20.9%), schedule II\/III opioids (11.7% vs. 19.2%), and high-dose opioids (4.3% vs. 7.7%; all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Among the 1195 matched pairs in the RS versus LS cohorts, RS was associated with less high-dose opioids (2.1% vs. 3.8%, <jats:italic>p<\/jats:italic>\u2009=\u20090.015) 90\u2013180\u00a0days after discharge. Other risk factors for long-term opioid use included younger age, benign indications, tobacco use, mental health conditions, and\u2009&gt;\u20096 Charlson comorbidities.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Minimally invasive colectomy is associated with a significant reduction in long-term opioid use when compared to OS. Robotic-assisted colectomy was associated with less high-dose opioids compared to LS. Increasing adoption of minimally invasive surgery for colectomy and including RS, where appropriate, may decrease long-term opioid use.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-021-08338-9","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T10:35:56Z","timestamp":1613039756000},"page":"701-710","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["A national database propensity score-matched comparison of minimally invasive and open colectomy for long-term opioid use"],"prefix":"10.1007","volume":"36","author":[{"given":"Amir L.","family":"Bastawrous","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kara K.","family":"Brockhaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa I.","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gediwon","family":"Milky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.-Fan","family":"Shih","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanli","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6375-7156","authenticated-orcid":false,"given":"Robert K.","family":"Cleary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,10]]},"reference":[{"issue":"5152","key":"8338_CR1","doi-asserted-by":"publisher","first-page":"1419","DOI":"10.15585\/mmwr.mm675152e1","volume":"67","author":"L Scholl","year":"2018","unstructured":"Scholl L, Seth P, Kariisa M, Wilson N, Baldwin G (2018) Drug and opioid-involved overdose deaths: United States, 2013\u20132017. 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He serves on the advisory board of Medtronic. He has equity interest in Twistle, Inc. Mr. Milky was employed at Intuitive Surgical, Inc during the conduct of the study as summer intern. Dr. Cleary has received honoraria from Intuitive Surgical, Inc. for educational speaking. Drs. Shih and Li are full-time employees of Intuitive Surgical, Inc. Dr. Chang and Dr. Brockhaus have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}