4.4 Article

The extent of colorectal resection and short-term outcomes in patients with ulcerative colitis

期刊

UPDATES IN SURGERY
卷 73, 期 4, 页码 1429-1434

出版社

SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s13304-021-01040-4

关键词

Ulcerative colitis; Total proctocolectomy; Subtotal colectomy; Laparoscopic surgery; Open surgery

类别

向作者/读者索取更多资源

Limited literature on the impact of the extent of resection on short-term outcomes in elective surgery for UC. The operative approach has a greater impact on short-term outcomes and length of stay than the extent of resection. Laparoscopic TPC has a higher rate of prolonged length of stay compared to laparoscopic STC.
Objective There is limited literature on the impact of the extent of resection on short-term outcomes in patients with ulcerative colitis (UC) in an elective setting. The aim of this study was to better understand the impact of approach and extent of resection on short-term outcomes for patients undergoing total proctocolectomy (TPC) and subtotal colectomy (STC) for UC. Methods Patients with UC who underwent elective TPC or STC were captured from the ACS-NSQIP (R) 2011-2018 database and divided into four cohorts: Open TPC (O-TPC), Laparoscopic TPC (L-STC), Open STC (O-STC), and Laparoscopic STC (L-STC). Baseline and perioperative variables were compared between the four groups alongside 30-day mortality and 30-day complication rates. Results Of 3387 patients, 368 (10.9%) underwent O-STC, 406 (12%) underwent O-TPC, 1958 (58%) underwent L-STC, and 655 (19%) underwent L-TPC. Overall rate of prolonged length of stay (LOS) was 27% and 9% needed a blood transfusion. There was no difference in the risk of complications between open TPC and open STC. Those who had open surgery had a higher risk of complications and prolonged LOS. Patients who had L-TPC had prolonged LOS compared to patients who had L-STC, but less compared to those who had O-STC. Conclusion Elective surgery for UC is associated with high rates of prolonged LOS and blood transfusion despite MIS approaches. Short-term outcomes and LOS are more impacted by the operative approach than the extent of resection. Despite this laparoscopic TPC has higher rates of prolonged LOS when compared to laparoscopic STC.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据