Colectomies performed at a rural <scp>A</scp>ustralian <scp>H</scp>ospital: A 7‐year analysis

Hoskins, Wayne; Taylor, Peter A.; Jacob, Abraham; Wijeratne, Shiran; Campbell, I. A.

doi:10.1111/ajr.12058

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…However, colonoscopies done in rural settings showed similar procedural findings and outcomes and outperformed national standards 67 . The majority of colorectal surgery done at rural centres was for cancer, and, when performed rurally, patients have been shown to have comparable surgical outcomes to metropolitan patients 68‐71 …”

Section: Patient Outcomesmentioning

confidence: 96%

The provision of general surgery in rural Australia: a narrative review

Paynter,

Qin,

Brennan

et al. 2024

Medical Journal of Australia

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Summary Rural surgery is most commonly provided by general surgeons to the 29% of people (7 million) living in rural Australia. The provision of rural general surgery to enable equitable and safe surgical care for rural Australians is a multifaceted issue concerning recruitment, training, retention, surgical procedures and surgical outcomes. Sustaining the rural general surgical workforce will be dependent upon growing an increased number of resident rural general surgeons, as well as changed models of care, with a need for ongoing review to track the outcomes of these changes. To increase recruitment, rural general surgical training must improve to be less stressful for trainees and to be incorporated alongside a rural‐facing generalist curriculum. Rural general surgical outcomes (excluding some oncology conditions) achieve comparable results to metropolitan centres. Access to, and outcomes of, surgical oncology services continues to be inequitable for rural Australians and should be a major focus for improved service delivery.

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Section: Patient Outcomesmentioning

confidence: 96%

The provision of general surgery in rural Australia: a narrative review

Paynter,

Qin,

Brennan

et al. 2024

Medical Journal of Australia

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Colorectal surgery in a rural setting

Tebala

2015

Updates Surg

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Colorectal surgery is increasingly being concentrated in high-volume tertiary centers, whereas it has been demonstrated that it can be performed safely and effectively even in low-volume hospitals. We analyzed data of patients who underwent major colorectal surgery in 1 year in a "rural" hospital, located on a small island, where a dynamic colorectal multidisciplinary team (MDT) and an enhanced recovery programme have been implemented. Primary endpoints were rate of laparoscopic resections, morbidity, mortality and number of lymph nodes retrieved and examined. Secondary endpoints were rate of R0 resections and length of postoperative stay. Seventy-six patients had surgery for a severe colorectal condition. Fifty-five resections have been performed, 38 by laparoscopy (69.1 %). Conversion rate was 5 %. Morbidity for resections was 21.8 %. General leak rate was 1.8 %, no leaks in laparoscopic resections. There was no difference in morbidity between open and laparoscopic resections. Postoperative stay was significantly shorter in laparoscopic vs open operations and in elective vs emergency operations. Number of lymph nodes retrieved was higher in laparoscopic vs open resections, 85.4 % of patients had 12 or more lymph nodes examined. Overall rate of R0 resections was 80.5 %, higher in laparoscopic vs open resections. Major colorectal surgery can be performed safely and effectively also in low-volume hospitals in the presence of a trained high-volume surgeon, an effective MDT and an Enhanced Recovery Programme.

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