Is outpatient surgery safe for the higher risk patient?

Voitk, Andrus J.; Ignatius, Sumi; Schouten, Barbara C.; Mustard, Robert A.

doi:10.1016/s1091-255x(98)80007-3

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…6,7 Studies observing the readmission rate in 100 high-risk patients undergoing outpatient laparoscopic surgery showed a 2% readmission rate, which was the same for the low-risk patients. 8 Another study evaluating the safety of outpatient cholecystectomy showed that of 77 high-risk patients booked as outpatients, only 61 (79%) were successfully completed as such. 9 One study examining readmission rates from an ambulatory surgery center demonstrated the return to the hospital of 187 of 6243 patients (3%) in a 12-month period.…”

Section: Readmission and Losmentioning

confidence: 99%

Complications Associated With Minimally Invasive Decompression for Lumbar Spinal Stenosis

Podichetty

Spears²,

Isaacs

et al. 2006

Journal of Spinal Disorders &Amp; Techniques

105

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Section: Readmission and Losmentioning

confidence: 99%

Complications Associated With Minimally Invasive Decompression for Lumbar Spinal Stenosis

Podichetty

Spears²,

Isaacs

et al. 2006

Journal of Spinal Disorders &Amp; Techniques

105

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“…Prophylactic appendectomy is defined as the removal of a macroscopically normal vermiform appendix whilst performing another abdominal operation. It is a standard of care in our unit to consider prophylactic appendectomy, with fully informed consent, when left colon or rectal cancer resection is performed based on previous publications in this field 7–10 . In addition, all the appendices incorporated in right‐/extended‐right hemicolectomy or subtotal colectomy specimens are routinely analyzed by histopathologists.…”

Section: Introductionmentioning

confidence: 99%

Occult appendix pathology in patients undergoing colorectal cancer resection and prophylactic appendectomy

Di Fabio,

Ravi,

Allievi

et al. 2023

World j. surg.

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BackgroundThe risk‐benefit balance of prophylactic appendectomy in patients undergoing left colorectal cancer resection is unclear. The aim of this report is to assess the proportion of histologically abnormal appendices in patients undergoing colorectal cancer resection in a unit where standard of care is appendectomy, with consent, when left‐sided resection is performed.MethodsA retrospective study on a prospectively collected database was conducted in a single tertiary‐care center. Overall, 717 consecutive patients undergoing colorectal cancer resection between January 2015 and June 2021 were analyzed. The primary outcome was the proportion of histologically abnormal appendix specimens at prophylactic appendectomy. The secondary outcome was complications from prophylactic appendectomy.ResultsOverall, 576/717 (80%) patients had appendectomy at colorectal cancer surgery. In total, 234/576 (41%) had a right‐/extended‐right hemicolectomy or subtotal colectomy which incorporates appendectomy, and 342/576 (59%) had left‐sided resection (left‐hemicolectomy, anterior resection or abdominoperineal excision) with prophylactic appendectomy. At definitive histology, 534/576 (92.7%) had a normal appendix. The remaining 42/576 (7.3%) showed abnormal findings, including: 14/576 (2.4%) inflammatory appendix pathology, 2/576 (0.3%) endometriosis, 8/576 (1.4%) hyperplastic polyp, and 18/576 (3.1%) appendix tumors, which encompassed six low‐grade appendiceal mucinous neoplasms (LAMNs), three carcinoids, and nine serrated polyps. In the 342 patients who had prophylactic appendectomy, 10 (2.9%) had a neoplasm (two LAMN, three carcinoids, and five serrated polyps). There were no complications attributable to appendectomy.ConclusionOccult appendix pathology in patients undergoing colorectal cancer resection is uncommon when prophylactic appendectomy was performed. However, approximately 3% of patients had a synchronous appendix neoplasm.

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Outpatient laparoscopic surgery: feasibility and consequences for education and health care costs

et al. 2004

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Is outpatient surgery safe for the higher risk patient?

Cited by 5 publications

References 6 publications

Complications Associated With Minimally Invasive Decompression for Lumbar Spinal Stenosis

Complications Associated With Minimally Invasive Decompression for Lumbar Spinal Stenosis

Occult appendix pathology in patients undergoing colorectal cancer resection and prophylactic appendectomy

Outpatient laparoscopic surgery: feasibility and consequences for education and health care costs

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