The benefit of an enhanced recovery programme following elective laparoscopic sigmoid colectomy.

Hdl Handle:
http://hdl.handle.net/10147/207853
Title:
The benefit of an enhanced recovery programme following elective laparoscopic sigmoid colectomy.
Authors:
Al Chalabi, Hasan; Kavanagh, Dara O; Hassan, Lana; Donnell, Kate O; Nugent, Emmeline; Andrews, Emmet; Keane, Frank B V; O'Riordain, Diarmuid S; Miller, Andrew; Neary, Paul
Affiliation:
Adelaide and Meath Hospital, Incorporating the National Children's Hospital,, Tallaght, Dublin 24, Ireland.
Citation:
Int J Colorectal Dis. 2010 Jun;25(6):761-6. Epub 2010 Feb 23.
Journal:
International journal of colorectal disease
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207853
DOI:
10.1007/s00384-010-0902-0
PubMed ID:
20177688
Abstract:
BACKGROUND: Enhanced recovery programmes (ERPs) have demonstrated reduced morbidity and length of hospital stay in patients undergoing open elective colorectal resections. The application of laparoscopic techniques to colorectal surgery is associated with shorter length of stay and morbidity compared to open resections. In the setting of laparoscopic surgery, it is unclear whether there is an additive effect on length of stay and morbidity by combining these. The current study addresses the benefit of an ERP (RAPID protocol) in a cohort of matched patients undergoing laparoscopic sigmoid colon resection MATERIALS AND METHODS: Consecutive patients over a 40-month period who underwent laparoscopic sigmoid colon resection were assigned either to the RAPID protocol (group 1) or traditional post operative care (group 2) in a non-randomised manner. Analysis was on an "intention to treat" basis. Primary and secondary endpoints were identified; primary endpoints included length of hospital stay and readmission rate. Secondary endpoints included morbidity and mortality rate. RESULTS: Seventy-three consecutive patients were included. Group 1 included 37 patients. Group 2 included 36 patients. Median length of hospital stay in groups 1 and 2 was 5 and 8 days, respectively (p = 0.01). Readmission rate in groups 1 and 2 was 8.1% and 8.3%, respectively (p = 0.98). Morbidity rate in groups 1 and 2 was 30% and 22%, respectively (p = 0.61); there was one mortality in each group. CONCLUSION: The application of the ERP (RAPID) to patients undergoing laparoscopic sigmoid colon resection results in a significant improvement in length of hospital stay, with comparable morbidity and readmission rates.
Language:
eng
MeSH:
Colectomy/*methods/mortality; Colon, Sigmoid/pathology/*surgery; Endpoint Determination; Female; Humans; *Laparoscopy/mortality; Length of Stay; Male; Middle Aged; Perioperative Care; *Recovery of Function; *Surgical Procedures, Elective/mortality
ISSN:
1432-1262 (Electronic); 0179-1958 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorAl Chalabi, Hasanen_GB
dc.contributor.authorKavanagh, Dara Oen_GB
dc.contributor.authorHassan, Lanaen_GB
dc.contributor.authorDonnell, Kate Oen_GB
dc.contributor.authorNugent, Emmelineen_GB
dc.contributor.authorAndrews, Emmeten_GB
dc.contributor.authorKeane, Frank B Ven_GB
dc.contributor.authorO'Riordain, Diarmuid Sen_GB
dc.contributor.authorMiller, Andrewen_GB
dc.contributor.authorNeary, Paulen_GB
dc.date.accessioned2012-02-01T10:48:06Z-
dc.date.available2012-02-01T10:48:06Z-
dc.date.issued2012-02-01T10:48:06Z-
dc.identifier.citationInt J Colorectal Dis. 2010 Jun;25(6):761-6. Epub 2010 Feb 23.en_GB
dc.identifier.issn1432-1262 (Electronic)en_GB
dc.identifier.issn0179-1958 (Linking)en_GB
dc.identifier.pmid20177688en_GB
dc.identifier.doi10.1007/s00384-010-0902-0en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207853-
dc.description.abstractBACKGROUND: Enhanced recovery programmes (ERPs) have demonstrated reduced morbidity and length of hospital stay in patients undergoing open elective colorectal resections. The application of laparoscopic techniques to colorectal surgery is associated with shorter length of stay and morbidity compared to open resections. In the setting of laparoscopic surgery, it is unclear whether there is an additive effect on length of stay and morbidity by combining these. The current study addresses the benefit of an ERP (RAPID protocol) in a cohort of matched patients undergoing laparoscopic sigmoid colon resection MATERIALS AND METHODS: Consecutive patients over a 40-month period who underwent laparoscopic sigmoid colon resection were assigned either to the RAPID protocol (group 1) or traditional post operative care (group 2) in a non-randomised manner. Analysis was on an "intention to treat" basis. Primary and secondary endpoints were identified; primary endpoints included length of hospital stay and readmission rate. Secondary endpoints included morbidity and mortality rate. RESULTS: Seventy-three consecutive patients were included. Group 1 included 37 patients. Group 2 included 36 patients. Median length of hospital stay in groups 1 and 2 was 5 and 8 days, respectively (p = 0.01). Readmission rate in groups 1 and 2 was 8.1% and 8.3%, respectively (p = 0.98). Morbidity rate in groups 1 and 2 was 30% and 22%, respectively (p = 0.61); there was one mortality in each group. CONCLUSION: The application of the ERP (RAPID) to patients undergoing laparoscopic sigmoid colon resection results in a significant improvement in length of hospital stay, with comparable morbidity and readmission rates.en_GB
dc.language.isoengen_GB
dc.subject.meshColectomy/*methods/mortalityen_GB
dc.subject.meshColon, Sigmoid/pathology/*surgeryen_GB
dc.subject.meshEndpoint Determinationen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Laparoscopy/mortalityen_GB
dc.subject.meshLength of Stayen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPerioperative Careen_GB
dc.subject.mesh*Recovery of Functionen_GB
dc.subject.mesh*Surgical Procedures, Elective/mortalityen_GB
dc.titleThe benefit of an enhanced recovery programme following elective laparoscopic sigmoid colectomy.en_GB
dc.contributor.departmentAdelaide and Meath Hospital, Incorporating the National Children's Hospital,, Tallaght, Dublin 24, Ireland.en_GB
dc.identifier.journalInternational journal of colorectal diseaseen_GB
dc.description.provinceLeinster-

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