Comparable Postoperative Morbidity and Mortality After Laparoscopic and Open Emergent Restorative Colectomy: Outcomes From the ACS NSQIP

Ballian, Nikiforos; Weisensel, Natalie; Rajamanickam, Victoria; Foley, Eugene F.; Heise, Charles P.; Harms, Bruce A.; Kennedy, Gregory D.

doi:10.1007/s00268-012-1694-x

Cited by 37 publications

(22 citation statements)

References 34 publications

(71 reference statements)

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“…17–20 Our analysis shows a significant advantage to the laparoscopic approach in preventing postoperative UTI. This may be because of the decrease in tissue trauma and pain associated with laparoscopy, leading to earlier ambulation and earlier catheter removal.…”

Section: Commentsmentioning

confidence: 84%

Urinary tract infection after surgery for colorectal malignancy: risk factors and complications

Sheka

Tevis

Kennedy

2016

The American Journal of Surgery

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BACKGROUND Over 4% of patients undergoing colorectal surgery develop postoperative urinary tract infection (UTI). METHODS Using 2005 to 2012 American College of Surgeons National Surgical Quality Improvement Program data for 47,781 patients, we examined independent risk factors and complications associated with UTI using multivariate logistic regression. RESULTS Independent predictors of UTI included female sex (odds ratio [OR] 1.705, 95% confidence interval [CI] 1.508 to 1.928), open procedure (OR 1.419, 95% CI 1.240 to 1.624), rectal procedure (OR 1.267, 95% CI 1.105 to 1.453), age greater than 65 years (OR 1.322, 95% CI 1.151 to 1.519), nonindependent functional status (OR 1.609, 95% CI 1.299 to 1.993), steroid use (OR 1.524, 95% CI 1.116 to 2.080), higher anesthesia class, and longer operative time. Patients with UTI had longer hospital stays (7 vs 12 days), higher reoperation rates (11.9% vs 5.1%), and higher 30-day mortality (3.3% vs 1.7%). Postoperative UTI correlated with other complications, including sepsis, surgical site infections, and pulmonary embolism (P < .001). CONCLUSIONS Postoperative UTI in colorectal surgery patients correlates with increased morbidity and mortality. Patients who contract postoperative UTI may be more likely to develop multiple complications.

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Section: Commentsmentioning

confidence: 84%

Urinary tract infection after surgery for colorectal malignancy: risk factors and complications

Sheka

Tevis

Kennedy

2016

The American Journal of Surgery

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“…[10][11][12][13] additionally, operative strategies are changing when urgent surgical intervention is required. [19][20][21][22][23][24][25] taken together, there is increasing evidence to support changes in the management of acute diverticulitis. [19][20][21][22][23][24][25] taken together, there is increasing evidence to support changes in the management of acute diverticulitis.…”

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confidence: 99%

Evolving Practice Patterns in the Management of Acute Colonic Diverticulitis

Baxter²,

McLeod

et al. 2014

Diseases of the Colon &Amp; Rectum

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“…In our case, the patient was treated with a laparoscopic procedure. An emergent laparoscopic colon resection reduces the length of the postoperative hospital stay [9]. For patients older than 75 years, a laparoscopic resection of colon is associated with less intraoperative blood loss, a shorter hospital stay, fewer cardiac complications, and a lower mortality rate than an open resection [10].…”

Section: Discussionmentioning

confidence: 99%