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EP-48 Laparoscopy in Emergency Colorectal Surgery: A 7-Year Retrospective Single Centre Cohort Study
- Source :
- British Journal of Surgery. 109
- Publication Year :
- 2022
- Publisher :
- Oxford University Press (OUP), 2022.
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Abstract
- Aim Colonic diseases requiring urgent resection account for a third of emergency intestinal surgery. Laparoscopy is being increasingly used for emergency surgery, but its role is still being defined. This study describes our centre's experience of adopting a laparoscopic approach for emergency colorectal resection. Method A retrospective single centre cohort study was performed using local NELA data from January 2014-December 2020. All patients who had a colorectal resection were included, regardless of indication. Patient demographic, operative and in-hospital outcomes were compared for resection type and operative approach. Logistic and linear regression were performed for 30-day mortality and post-operative length of stay. Results A total 507 colorectal resections were performed. 48.1% were started laparoscopically and 27.6% successfully completed. Attempted laparoscopy rates increased over the study period to over 50% for the last 4 years. Colorectal specialists were more likely to start and complete cases laparoscopically (82.4% and 91.4% vs 60.3% for open). Cases started laparoscopically had significantly lower post-operative length of stay (10.5 vs 16.5 days, p Conclusion Laparoscopy can be used effectively and sustainably for emergency colorectal resections in a centre experienced with minimally invasive surgery. This study adds to the body of evidence supporting the safety and efficacy of laparoscopy in the emergency setting.
- Subjects :
- Surgery
Subjects
Details
- ISSN :
- 13652168 and 00071323
- Volume :
- 109
- Database :
- OpenAIRE
- Journal :
- British Journal of Surgery
- Accession number :
- edsair.doi...........24c49561569ad46a719a18e1219cc7f6