Comparison of recovery and outcome after left and right colectomy.
Adult
Aged
Colectomy
/ adverse effects
Crohn Disease
/ surgery
Databases, Factual
Elective Surgical Procedures
/ adverse effects
Enhanced Recovery After Surgery
Female
Humans
Ileus
/ epidemiology
Male
Middle Aged
Postoperative Complications
/ epidemiology
Postoperative Period
Prospective Studies
Recovery of Function
Retrospective Studies
Risk Factors
Crohn's
Enhanced recovery
colectomy
ileus
outcome
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
13
11
2018
accepted:
19
12
2018
pubmed:
27
12
2018
medline:
25
9
2020
entrez:
27
12
2018
Statut:
ppublish
Résumé
The present study aimed to compare functional recovery and surgical outcomes after left and right colectomies. Consecutive elective left and right colon resections for benign and malignant indications, performed between 2011 and 2016 and recorded in a prospectively maintained enhanced recovery database, were analysed. Demographic and surgical items, as well as functional recovery and 30-day complications, were compared between left-sided and right-sided colectomies. Multivariable analysis was performed to identify risk factors for postoperative ileus (POI). In total, 1001 left and 1041 right colectomies were comparable regarding demographic factors; only body mass index (BMI) was higher in patients undergoing left-sided resections (> 30 kg/m Despite equal ERP compliance, postoperative ileus was higher after right-sided colectomies. This finding was associated with Crohn's disease and fluid overload.
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
481-486Informations de copyright
Colorectal Disease © 2018 The Association of Coloproctology of Great Britain and Ireland.