Risk factors for early postoperative complications and length of hospital stay in ileocecal resection and right hemicolectomy for Crohn’s disease: a single-center experience

2018 ◽  
Vol 33 (7) ◽  
pp. 937-945 ◽  
Author(s):  
Christian Galata ◽  
Christel Weiss ◽  
Julia Hardt ◽  
Steffen Seyfried ◽  
Stefan Post ◽  
...  
Keyword(s):  
Risk Factors ◽  
Crohn’S Disease ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Right Hemicolectomy ◽  
Ileocecal Resection ◽  
Single Center ◽  
Early Postoperative Complications ◽  
Single Center Experience

Analysis of the influence of risk factors on the development of complications after heart surgery

2021 ◽  
Vol 22 (2) ◽  
pp. 111-114
Author(s):  
V. V. Sokolova ◽  
◽  
V. E. Shneider ◽  
T. E. Burova ◽  
A. V. Dorovikova ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Comparative Analysis ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Heart Surgery ◽  
Length Of Hospital Stay ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Surgery Department

Aim. To study the influence of risk factors on the development of complications in patients after heart surgery. Materials and methods. The study was carried out on the basis of the cardiac surgery department of the «OKB № 1», Tyumen. In the course of the work, a retrospective analysis of the results of cardiac surgery with sternotomy access was carried out on the basis of 469 case histories of patients in the period 2014-2020. Results. During the study, all patients were divided into 2 groups: patients with complications associated with access and without complications. As a result, a database of patients was created, on the basis of which a comparative analysis of 45 risk factors was carried out. Based on a comparative analysis, it was proved that in the development of postoperative complications, the leading risk factors among preoperative ones are diabetes mellitus, chronic obstructive pulmonary disease, obesity; among intraoperative risk factors, hemorrhage during surgery of more than 1000 ml is statistically significant. The number of resternotomies in history and the presence of risk factors affect the length of hospital stay and mortality after cardiac surgery. Conclusion. Timely diagnosis of concomitant diseases, their compensation and correction in the postoperative period affects and prevents the development of early postoperative complications. Careful hemostasis, a differentiated approach to osteosynthesis of the sternum after sternotomy reduce the risk of postoperative complications and the number of hospital stay days, which significantly reduces the economic costs of the hospital.

scholarly journals Intracorporeal versus Extracorporeal Anastomosis for Laparoscopic Right Hemicolectomy: Short-Term Outcomes

2021 ◽  
Vol 10 (24) ◽  
pp. 5967
Author(s):  
Antonio Biondi ◽  
Gianluca Di Mauro ◽  
Riccardo Morici ◽  
Giuseppe Sangiorgio ◽  
Marco Vacante ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Lymph Nodes ◽  
Hospital Stay ◽  
Operative Time ◽  
Length Of Hospital Stay ◽  
Bowel Function ◽  
Right Hemicolectomy ◽  
Function Recovery ◽  
Extracorporeal Anastomosis ◽  
Laparoscopic Right Hemicolectomy

Laparoscopic right hemicolectomy represents an effective therapeutic approach for right colon cancer (RCC). The primary aim of this study was to evaluate bowel function recovery, length of hospital stay, operative time, and the number of general and anastomosis-related postoperative complications from intracorporeal anastomosis (ICA) vs. extracorporeal anastomosis (ECA); the secondary outcome was the number of lymph nodes retrieved. This observational study was conducted on 108 patients who underwent right hemicolectomy for RCC; after surgical resection, 64 patients underwent ICA and 44 underwent ECA. The operative time was slightly longer in the ICA group than in the ECA group, even though the difference was not significant (199.31 ± 48.90 min vs. 183.64 ± 35.80 min; p = 0.109). The length of hospital stay (7.53 ± 1.91 days vs. 8.77 ± 3.66 days; p = 0.036) and bowel function recovery (2.21 ± 1.01 days vs. 3.45 ± 1.82 days; p < 0.0001) were significantly lower in the ICA group. There were no significant differences in postoperative complications (12% in ICA group vs. 9% in ECA group), wound infection (6% in ICA group vs. 7% in ECA group), or anastomotic leakage (6% in ICA group vs. 9% in ECA group). We did not observe a significant difference between the two groups in the number of lymph nodes collected (19.46 ± 7.06 in ICA group vs. 22.68 ± 8.79 in ECA group; p = 0.086). ICA following laparoscopic right hemicolectomy, compared to ECA, could lead to a significant improvement in bowel function recovery and a reduction in the length of hospital stay in RCC patients.

scholarly journals Risk Factors for Early Postoperative Complications after Surgery for Crohn's Disease

2014 ◽  
Vol 31 (3) ◽  
pp. 147-154 ◽  
Author(s):  
Vladimir Joksimović ◽  
Aleksandar Karagjozov ◽  
Gjorgi Jota ◽  
Ilija Milev ◽  
Radomir Gelevski
Keyword(s):  
Risk Factors ◽  
Crohn’S Disease ◽  
Postoperative Complications ◽  
Crohn's Disease ◽  
Medical Centre ◽  
Resection Margins ◽  
Digestive Surgery ◽  
Early Postoperative Complications ◽  
Using Data ◽  
The University

Summary The aim of this study was to show the influence of various risk factors on early postoperative complications following surgery for Crohn’s disease (CD). In this review, an online internet database was searched, and also systematic review of the literature was performed. Three different studies from different countries were analyzed and compared with the results obtained in our University Clinic of Digestive Surgery - Skopje. The first review shows the influence of positive resection margins in CD on septical complications occurrence in patients undergoing ileocolic resection for CD at the Tel Aviv Medical Centre - Israel. The second review shows the risk factors for complications after bowel surgery in Korean patients with CD using data from the Asan Medical Centre - Seul, Korea. The third review shows that the delay of surgery is associated with inferior postoperative outcome in patients treated for perforating Crohn’s ileitis, and the study was conducted using data from the medical records of patients treated at the Department of Surgery at the University of Regensburg, Germany. Finally, we analyzed the influence of the most common risk factors on early postoperative complications in patients that underwent surgery for Crohn’s disease in a five-year period at the University Clinic of Digestive Surgery in Skopje, Macedonia and compared them with the results in the aforementioned articles.

Su1661 Risk Factors for Postoperative Complications After Ileocecal Resection in Patients With Crohn's Disease

2013 ◽  
Vol 144 (5) ◽  
pp. S-1084
Author(s):  
Michael S. Kasparek ◽  
Sophie Zehl ◽  
Mario Mueller ◽  
Stephan Brand ◽  
Martin E. Kreis
Keyword(s):  
Risk Factors ◽  
Crohn’S Disease ◽  
Postoperative Complications ◽  
Crohn's Disease ◽  
Ileocecal Resection
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