Trends in emergency colorectal surgery: a 7-year retrospective single-centre cohort study

Smyth, Rachel; Darbyshire, Alexander; Mercer, Stuart; Khan, Jim; Richardson, John R.

doi:10.1007/s00464-023-09876-0

Cited by 3 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Factors that improve outcomes in elec-tive colorectal resection include the trend towards minimally invasive surgery, scheduled intensive care, and adherence to Enhanced Recovery After Surgery (ERAS) protocols. [5] Emergency surgeries of the left colon are often necessitated by mechanical obstruction and perforation, with perioperative management becoming complicated by factors such as dehydration, fluid-electrolyte imbalances, and sepsis. The predominance of pathologies such as obstructive colonic malignancies, diverticular disease, and volvulus in the descending and sigmoid colon is well-established in literature, and these findings have been extensively discussed.…”

Section: Discussionmentioning

confidence: 99%

Non-malignant left colon emergency surgery: evaluation of factors affecting clinical outcomes and complications

Çiftçi

2024

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND:Emergency colorectal resections hold a significant position in general surgical practice, and pathologies of the left colon are relatively common. This study was conducted to assess the outcomes of isolated left colon surgeries with benign etiologies, drawing on clinicopathological and biochemical data. METHODS:We carried out a retrospective review and statistical analysis of demographic, clinical, and laboratory data of patients who underwent left colon surgery at the general surgery clinic of a tertiary care hospital, excluding those with malignancy-related emergencies, from January 2017 to January 2022. RESULTS:The average age of the 48 patients in the study was 56.9±16.4 years. Complicated acute diverticulitis was the most frequent indication for emergency surgery (n=19, 39.6%). The Hartmann procedure was the surgical technique most often employed (n=30, 62.5%). The rates of postoperative morbidity and mortality within 30 days were 27.1% and 8.3%, respectively. Increased postoperative morbidity was linked to advanced age (mean 65.4±15.8 vs. 53.8±15.7, p=0.028), the preoperative administration of vasopressors, lower platelet counts, hypoalbuminemia (<3 mg/dl), and azotemia (blood urea nitrogen >20 mg/dl). There was no statistically significant correlation between comorbidities, American Society of Anesthesiologists (ASA) scores, surgical methods, or other clinical data and postoperative outcomes. CONCLUSION:For emergency colorectal surgery pertaining to left colon pathologies, it is critical to conduct a comprehensive evaluation in the perioperative period, especially for elderly and hypotensive patients with renal function abnormalities and for those requiring vasopressors.

show abstract

Section: Discussionmentioning

confidence: 99%

Non-malignant left colon emergency surgery: evaluation of factors affecting clinical outcomes and complications

Çiftçi

2024

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…The patient’s condition, including hemodynamic stability, the extent of abdominal distention, the resectability of the carcinoma and the surgeon’s ability to perform a curative resection represent the elements that must be taken into consideration when choosing a possible laparoscopic approach in the presence of an occlusive colorectal carcinoma[ 49 ]. Although there have been some retrospective studies demonstrating feasibility of laparoscopic resection with benefits in short-term outcomes, a prospective randomized controlled trial has not yet been published[ 50 - 52 ].…”

Section: The Role Of Open Surgerymentioning

confidence: 99%

Has the open surgical approach in colorectal cancer really become uncommon?

Cariati,

Brisinda,

Chiarello

2024

World J Gastrointest Surg

View full text Add to dashboard Cite

Colorectal cancer is the third most common cancer in the world. Surgery is mandatory to treat patients with colorectal cancer. Can colorectal cancer be treated in laparoscopy? Scientific literature has validated the oncological quality of laparoscopic approach for the treatment of patients with colorectal cancer. Randomized non-inferiority trials with good remote control have answered positively to this long-debated question. Early as 1994, first publications demonstrated technical feasibility and compliance with oncological imperatives and, as far as short-term outcomes are concerned, there is no difference in terms of mortality and post-operative morbidity between open and minimally invasive surgical approaches, but only longer operating times at the beginning of the experience. Subsequently, from 2007 onwards, long-term results were published that demonstrated the absence of a significant difference regarding overall survival, disease-free survival, quality of life, local and distant recurrence rates between open and minimally invasive surgery. In this editorial, we aim to summarize the clinical and technical aspects which, even today, make the use of open surgery relevant and necessary in the treatment of patients with colorectal cancer.

show abstract

Surgical trends and outcomes of open, laparoscopic, and robotic colostomy reversal for benign disease

Katsura,

Ashbrook,

Ikenoue

et al. 2024

Surgery

View full text Add to dashboard Cite

Trends in emergency colorectal surgery: a 7-year retrospective single-centre cohort study

Cited by 3 publications

References 29 publications

Non-malignant left colon emergency surgery: evaluation of factors affecting clinical outcomes and complications

Non-malignant left colon emergency surgery: evaluation of factors affecting clinical outcomes and complications

Has the open surgical approach in colorectal cancer really become uncommon?

Surgical trends and outcomes of open, laparoscopic, and robotic colostomy reversal for benign disease

Contact Info

Product

Resources

About