Study to Determine the Short-Term Outcomes of Laparoscopic Colonic Surgery

2021 ◽  
Vol 15 (11) ◽  
pp. 3362-3364
Author(s):  
Rekha Khatri ◽  
Ishfaq Ahmad Khan ◽  
Sunil Dut Sachdev ◽  
Muhammad Javaid Rashid ◽  
Muhmmad Bilal ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Bowel Function ◽  
Colonic Surgery ◽  
Sigmoid Colectomy ◽  
Short Term ◽  
Early Return ◽  
Duration Of Surgery ◽  
Clinical Records ◽  
Laparoscopic Assisted

Introduction: The article presents early Outcomes in laparoscopic colorectal surgery according to tumour size, duration of surgery, duration of postoperative analgesic requirements, recovery of bowel function, postoperative complications, and mortality. Aim: The aim of the analysis is to describe the short-term outcomes of our patients who endured laparoscopic colonic surgery because of various colon pathologies. Study Design: A Retrospective Case Review cohort study. Methods: The surgical and clinical records of all laparoscopic assisted colon procedures were reviewed and selected for the study held in the Surgical department of Social Security Landhi Hospital Karachi for two years duration from June 2019 to June 2021. All patients underwent surgery under general anaesthesia. Results: During this period, 62 total laparoscopic assisted colon (LAC) procedures were achieved. 41were male and 21 females. 54 patients underwent cancer surgery out of which 51 patient had adenocarcinoma of colon, 2 patient had carcinoids of bowel , and 1 patient had Hodgkin’s lymphoma. Ileocecal tuberculosis was noted in 5 patients and submucosal polyps in one patient. Of these 54 procedures for colonic cancer , 12 were left hemicolectomy, 34 right hemicolectomy, 2 segmental splenic flexure resections, 3 segmental resection with transverse colostomy and 3 sigmoid colectomy The average time of LAC surgery was 140 minutes (range 60 to 250). The average duration of analgesic drugs was 3 days (range 3–6). The median time to the first movement in the bowel was 2.5 days (range 2–4) and the hospital stay was 6 days (range 5–10). Conclusions: Laparoscopically assisted colon procedures are associated with early return of bowel function, less analgesic consumption, short hospital stays, and a lower rate of post operative complication. Laparoscopic colorectal surgery is achievable with optimum operative time and is a logical advantage for good operative outcomes with advanced laparoscopic skills. Keywords: Laparoscopically assisted colon surgery, laparoscopy and Colon cancer.

Supervised surgical training and its effect on the short-term outcome in laparoscopic colorectal surgery

2013 ◽  
Vol 15 (8) ◽  
pp. e483-e487 ◽  
Author(s):  
A. Krishna ◽  
M. Russell ◽  
G. L. Richardson ◽  
M. J. F. X. Rickard ◽  
A. Keshava
Keyword(s):  
Colorectal Surgery ◽  
Surgical Training ◽  
Laparoscopic Colorectal Surgery ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome

scholarly journals Short-term outcomes after laparoscopic colorectal surgery in patients with previous abdominal surgery: A systematic review

2016 ◽  
Vol 8 (7) ◽  
pp. 533 ◽  
Author(s):  
Marleny Novaes Figueiredo ◽  
Fabio Guilherme Campos ◽  
Luiz Augusto D’Albuquerque ◽  
Sergio Carlos Nahas ◽  
Ivan Cecconello ◽  
...  
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Abdominal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Short Term ◽  
Previous Abdominal Surgery

scholarly journals Comparison of Short-Term Outcomes Between Robotic-Assisted and Laparoscopic Surgery in Colorectal Cancer

2018 ◽  
Vol 26 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Xiao-Long Zhu ◽  
Pei-Jing Yan ◽  
Liang Yao ◽  
Rong Liu ◽  
De-Wang Wu ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Hospital Stay ◽  
Bowel Function ◽  
Postoperative Recovery ◽  
Postoperative Hospital Stay ◽  
Robot Assisted ◽  
Short Term ◽  
Robotic Colorectal Surgery

Aim. The robotic technique has been established as an alternative approach to laparoscopy in colorectal surgery. The aim of this study was to compare short-term outcomes of robot-assisted and laparoscopic surgery in colorectal cancer. Methods. The cases of robot-assisted or laparoscopic colorectal resection were collected retrospectively between July 2015 and October 2017. We evaluated patient demographics, perioperative characteristics, and pathologic examination. A multivariable linear regression model was used to assess short-term outcomes between robot-assisted and laparoscopic surgery. Short-term outcomes included time to passage of flatus and postoperative hospital stay. Results. A total of 284 patients were included in the study. There were 104 patients in the robotic colorectal surgery (RCS) group and 180 in the laparoscopic colorectal surgery (LCS) group. The mean age was 60.5 ± 10.8 years, and 62.0% of the patients were male. We controlled for confounding factors, and then the multiple linear model regression indicated that the time to passage of flatus in the RCS group was 3.45 days shorter than the LCS group (coefficient = −3.45, 95% confidence interval [CI] = −5.19 to −1.71; P < .001). Additionally, the drainage of tube duration (coefficient = 0.59, 95% CI = 0.3 to 0.87; P < .001) and transfers to the intensive care unit (coefficient = 7.34, 95% CI = 3.17 to 11.5; P = .001) influenced the postoperative hospital stay. The total costs increased by 15501.48 CNY in the RCS group compared with the LCS group ( P = .008). Conclusions. The present study suggests that colorectal cancer robotic surgery was more beneficial to patients because of shorter postoperative recovery time of bowel function and shorter hospital stays.

Effect of epidural analgesia on bowel function in laparoscopic colorectal surgery: a systematic review and meta-analysis

2013 ◽  
Vol 27 (7) ◽  
pp. 2581-2591 ◽  
Author(s):  
Suhail A. Khan ◽  
Haseeb A. Khokhar ◽  
A. R. H. Nasr ◽  
Eleanor Carton ◽  
Sherif El-Masry
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Epidural Analgesia ◽  
Laparoscopic Colorectal Surgery ◽  
Meta Analysis ◽  
Bowel Function

scholarly journals Multivariate machine learning models for prediction of postoperative intestinal obstruction in patients underwent laparoscopic colorectal surgery: A retrospective observational study

2019 ◽  
Author(s):  
Xueyan Li ◽  
Genshan Ma ◽  
Xiaobo Qian ◽  
Yamou Wu ◽  
Xiaochen Huang ◽  
...  
Keyword(s):  
Machine Learning ◽  
Colorectal Surgery ◽  
Intestinal Obstruction ◽  
Laparoscopic Colorectal Surgery ◽  
Training Group ◽  
Machine Learning Algorithms ◽  
Gradient Boosting ◽  
Duration Of Surgery ◽  
Postoperative Intestinal Obstruction ◽  
Testing Group

Abstract Background Machine learning may predict postoperative intestinal obstruction (POI) in patients underwent laparoscopic colorectal surgery for malignant lesions.Methods We used five machine learning algorithms (Logistic regression, Decision Tree, Forest, Gradient Boosting and gbm), analyzed by 28 explanatory variables, to predict POI. The total samples were randomly divided into training and testing groups, with a ratio of 8:2. The model was evaluated by the area operation characteristic curve (AUC), F1-Measure, accuracy, recall, and MSE under the receiver.Results A total of 637 patients were enrolled in this study, 122 (19.15%) of them had POI. Gradient Boosting and gbm had the most accurate in training group and testing group respectively.The f1_score of Gradient Boosting was the highest in the training group (f1_score =0.710526), and the f1_score of gbm was the highest in the testing group (f1_score =0.500000). In addition, the results of the importance matrix of Gbdt algorithm model showed that the important variables that account for the weight of intestinal obstruction after the first five operations are time to pass flatus or passage of stool, cumulative dose of rescue opioids used in postoperative days 3 (POD 3), duration of surgery, height and weight.Conclusions Machine learning algorithms may predict the occurrence of POI in patients underwent laparoscopic colorectal surgery for malignant lesions, especially Gradient Boosting and GBM algorithms. Moreover, time to pass flatus or passage of stool, cumulative dose of rescue opioids used during POD 3, duration of surgery, height and weight play an important role in the development of POI.

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