Annals of Coloproctology

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Outcomes and Risk Factors Affecting Mortality in Patients Who Underwent Colorectal Emergency Surgery: Nam Ho Oh, Kyung Jong Kim; Ann Coloproctol. 2016;32(4):133-138. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.133

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14 Web of Science
11 Citations

Purpose

Emergency colorectal surgery has a high risk of mortality and morbidity because of incomplete bowel preparation, bacterial proliferation, and contamination. In this study, we investigated the outcomes and the risk factors affecting mortality in patients who had undergone emergency surgery for the treatment of various colorectal diseases.

Methods

This study is a retrospective analysis of prospectively collected data to survey the clinical results for patients who had undergone emergency colorectal surgery from January 2014 to December 2014. We analyzed various clinicopathologic factors, which were divided into 3 categories: preoperative, intraoperative, and postoperative.

Results

A total of 50 patients had undergone emergency colorectal surgery during the time period covered by this study. Among them, 10 patients (20%) died during the postoperative period. A simple linear regression analysis showed that the risk factors for mortality were old age, preoperative hypotension, and a high American Society of Anesthesiologist (ASA) score. Moreover, a multiple linear regression analysis showed a high ASA score and preoperative hypotension to be independent risk factors.

Conclusion

In this study, emergency colorectal surgery showed a relatively high mortality rate. Furthermore, the independent risk factors for mortality were preoperative hypotension and high ASA score; thus, patients with these characteristics need to be evaluated more carefully and receive better care if the mortality rate is to be reduced.

Citations

Citations to this article as recorded by

Impact of Surgeon Specialization on Outcomes in Emergency Colorectal Surgery: A Systematic Review and Meta-analysis
Zachary Bunjo, Luke Traeger, Ishraq Murshed, Sergei Bedrikovetski, Nagendra N. Dudi-Venkata, Christopher Dobbins, Tarik Sammour
Diseases of the Colon & Rectum.2025; 68(1): 14. CrossRef
Postoperative hypotension following acute hip fracture surgery is a predictor of 30-day mortality
Neil Donald, Grace Eniola, Krisztian Deierl
The Bone & Joint Journal.2024; 106-B(2): 189. CrossRef
Emergent colectomy for colorectal cancer: A comparative analysis of open vs. minimally invasive approach
Hunter Jecius, Muhammad Khurrum, Erika Krall, Dynnika Tso, Afang Pefok, Ryan Silva, Emily Wusterbarth, Hina Arif, Mohammad Hamidi, Valentine Nfonsam
The American Journal of Surgery.2023; 225(4): 724. CrossRef
Surgical outcomes and prognostic factors associated with emergency left colonic surgery
Dauda Bawa, Yasser Mohammad Khalifa, Saleem Khan, Waddah Norah, Nibras Noman
Annals of Saudi Medicine.2023; 43(2): 97. CrossRef
Development and Evaluation of a Risk-Adjusted Measure of Intraoperative Hypotension in Patients Having Nonemergent, Noncardiac Surgery
Anna L. Christensen, Ethan Jacobs, Kamal Maheshwari, Fei Xing, Xiaohong Zhao, Samuel E. Simon, Karen B. Domino, Karen L. Posner, Alvin F. Stewart, Joseph A. Sanford, Daniel I. Sessler
Anesthesia & Analgesia.2021; 133(2): 445. CrossRef
Prediction of functional loss in emergency surgery is possible with a simple frailty screening tool
Davide Zattoni, Isacco Montroni, Nicole Marie Saur, Anna Garutti, Maria Letizia Bacchi Reggiani, Federico Ghignone, Giovanni Taffurelli, Giampaolo Ugolini
World Journal of Emergency Surgery.2021;[Epub] CrossRef
Fluid management for critical patients undergoing urgent colectomy
Fabian Grass, Basile Pache, Fabio Butti, Josep Solà, Dieter Hahnloser, Nicolas Demartines, Martin Hübner
Journal of Evaluation in Clinical Practice.2020; 26(1): 109. CrossRef
Procalcitonin as an early marker in the detection of anastomotic intestinal leak in a Universitary Hospital of Bogotá
Elkin Eduardo Benítez Navarrete, Tatiana Carolina Beltrán-García, María Fernanda Mosquera, Valeria Martinez Rojas, Daniel Alejandro Buitrago Medina, Carlos Edgar Figueroa Avendaño
Journal of Coloproctology.2020; 40(04): 376. CrossRef
Association of intra‐operative hypotension with acute kidney injury, myocardial injury and mortality in non‐cardiac surgery: A meta‐analysis
Ran An, Qian-Yun Pang, Hong‐Liang Liu
International Journal of Clinical Practice.2019;[Epub] CrossRef
Emergency Surgery Mortality (ESM) Score to Predict Mortality and Improve Patient Care in Emergency Surgery
Sirirat Tribuddharat, Thepakorn Sathitkarnmanee, Pavit Sappayanon
Anesthesiology Research and Practice.2019; 2019: 1. CrossRef
Emergent Colorectal Surgery: What Should Be Considered?
Chang-Nam Kim
Annals of Coloproctology.2016; 32(4): 124. CrossRef

Laparoscopic Versus an Open Colectomy in an Emergency Setting: A Case-Controlled Study: Frederick H. Koh, Ker-Kan Tan, Charles B. Tsang, Dean C. Koh; Ann Coloproctol. 2013;29(1):12-16. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.12

6,482 View
54 Download
22 Citations

Abstract PDF

Purpose

Laparoscopy continues to be increasingly adopted for elective colorectal resections. However, its role in an emergency setting remains controversial. The aim of this study was to compare the outcomes between laparoscopic and open colectomies performed for emergency colorectal conditions.

Methods

A retrospective review of all patients who underwent emergency laparoscopic colectomies for various surgical conditions was performed. These patients were matched for age, gender, surgical diagnosis and type of surgery with patients who underwent emergency open colectomies.

Results

Twenty-three emergency laparoscopic colectomies were performed from April 2006 to October 2011 for patients with lower gastrointestinal tract bleeding (6), colonic obstruction (4) and colonic perforation (13). The hand-assisted laparoscopic technique was utilized in 15 cases (65.2%). There were 4 (17.4%) conversions to the open technique. The operative time was longer in the laparoscopic group (175 minutes vs. 145 minutes, P = 0.04), and the duration of hospitalization was shorter in the laparoscopic group (6 days vs. 7 days, P = 0.15). The overall postoperative morbidity rates were similar between the two groups (P = 0.93), with only 3 patients in each group requiring postoperative surgical intensive-care-unit stays or reoperations. There were no mortalities. The cost analysis did not demonstrate any significant differences in the procedural (P = 0.57) and the nonprocedural costs (P = 0.48) between the two groups.

Conclusion

Emergency laparoscopic colectomy in a carefully-selected patient group is safe. Although the operative times were longer, the postoperative outcomes were comparable to those of the open technique. The laparoscopic group did not incur a higher cost.

Citations

Citations to this article as recorded by

Validity of laparoscopic surgery for lower gastrointestinal perforations
Kensuke Kudou, Ryoko Aoyama, Kento Ishihara, Tomohide Kawashita, Shuhei Kajiwara, Takashi Motomura, Takafumi Yukaya, Tomonori Nakanoko, Yosuke Kuroda, Masahiro Okamoto, Tadashi Koga, Yo‐Ichi Yamashita, Eiji Oki, Tomoharu Yoshizumi
Asian Journal of Endoscopic Surgery.2024;[Epub] CrossRef
Iatrogenic ureteral injury during laparoscopic versus open colectomy
Ayman M. Abdulmohaymen
Al-Azhar Assiut Medical Journal.2024; 22(1): 7. CrossRef
Comparison of Laparoscopic and Open Emergency Surgery for Colorectal Perforation: A Retrospective Study
Kensuke Kudou, Tetsuya Kusumoto, Hirofumi Hasuda, Yasuo Tsuda, Eiji Kusumoto, Hideo Uehara, Rintaro Yoshida, Yoshihisa Sakaguchi
Journal of Laparoendoscopic & Advanced Surgical Techniques.2023; 33(5): 464. CrossRef
Short-term outcomes of laparoscopic approach to colonic obstruction for colon cancer
Zhobin Moghadamyeghaneh, Henry Talus, Garth Ballantyne, Michael J. Stamos, Alessio Pigazzi
Surgical Endoscopy.2021; 35(6): 2986. CrossRef
Effects of laparoscopic vs open abdominal surgery on costs and hospital readmission rate and its effect modification by surgeons’ case volume
Thomas H. Shin, Sabine Friedrich, Gabriel A. Brat, Maira I. Rudolph, Vicki Sein, Ronny Munoz-Acuna, Timothy T. Houle, Cristina R. Ferrone, Matthias Eikermann
Surgical Endoscopy.2020; 34(10): 1. CrossRef
Minimally invasive interventions in emergency large bowel surgery
B.M. Niyozbekov, T.Z. Rzaev, Z.B. Khalilov, M.A. Chinikov
Khirurgiya. Zhurnal im. N.I. Pirogova.2020; (6): 109. CrossRef
Procedural and post-operative complications associated with laparoscopic versus open abdominal surgery for right-sided colonic cancer resection
Yong Sheng Li, Fan Chun Meng, Jun Kai Lin
Medicine.2020; 99(40): e22431. CrossRef
Did we prioritize quality improvement in general surgery: Time for a focus on outcomes and enhanced recovery care plans?
Byron D. Hughes, Eric Sieloff, Hemalkumar B. Mehta, Anthony J. Senagore
The American Journal of Surgery.2019; 217(3): 534. CrossRef
Enhanced recovery after surgery for emergency colorectal surgery: Are there any differences between intra-abdominal infection and other indications?
V. Lohsiriwat
Journal of Visceral Surgery.2019; 156(6): 489. CrossRef
Réhabilitation améliorée dans les urgences chirurgicales colorectales : quelles différences entre les péritonites et les autres indications ?
V. Lohsiriwat
Journal de Chirurgie Viscérale.2019; 156(6): 523. CrossRef
Role of Emergency Laparoscopic Colectomy for Colorectal Cancer
Abigail E. Vallance, Deborah S. Keller, James Hill, Michael Braun, Angela Kuryba, Jan van der Meulen, Kate Walker, Manish Chand
Annals of Surgery.2019; 270(1): 172. CrossRef
Emergent Laparoscopic Colectomy Is an Effective Alternative to Open Resection for Benign and Malignant Diseases: a Meta-Analysis
Sun-Bing Xu, Zhong Jia, Yi-Ping Zhu, Ren-chao Zhang, Ping Wang
Indian Journal of Surgery.2017; 79(2): 116. CrossRef
Colectomie par laparoscopie ou par laparotomie pour tumeur colique droite en occlusion : revue systématique de la littérature et méta-analyse
R. Cirocchi, F.C. Campanile, S. Di Saverio, G. Popivanov, L. Carlini, D. Pironi, R. Tabola, N. Vettoretto
Journal de Chirurgie Viscérale.2017; 154(6): 399. CrossRef
Laparoscopic versus open colectomy for obstructing right colon cancer: A systematic review and meta-analysis
R. Cirocchi, F. Cesare Campanile, S. Di Saverio, G. Popivanov, L. Carlini, D. Pironi, R. Tabola, N. Vettoretto
Journal of Visceral Surgery.2017; 154(6): 387. CrossRef
A systematic review and overview of health economic evaluations of emergency laparotomy
Sohail Bampoe, Peter M. Odor, S. Ramani Moonesinghe, Matthew Dickinson
Perioperative Medicine.2017;[Epub] CrossRef
Laparoscopic approach in gastrointestinal emergencies
Rosa M Jimenez Rodriguez, Juan José Segura-Sampedro, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz
World Journal of Gastroenterology.2016; 22(9): 2701. CrossRef
Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery
T Yamada, K Okabayashi, H Hasegawa, M Tsuruta, J-H Yoo, R Seishima, Y Kitagawa
British Journal of Surgery.2016; 103(5): 493. CrossRef
A nationwide assessment comparing nonelective open with minimally invasive complex colorectal procedures
A. T. Schlussel, M. B. Lustik, E. K. Johnson, J. A. Maykel, B. J. Champagne, A. Damle, H. M. Ross, S. R. Steele
Colorectal Disease.2016; 18(3): 301. CrossRef
Caecal pneumatosis is not an absolute contraindication for endoluminal stenting in patients with acute malignant large bowel obstruction
James Ngu, Bettina Lieske, Kok Hong Dedrick Chan, Tian Zhi Lim, Wai‐Kit Cheong, Ker‐Kan Tan
ANZ Journal of Surgery.2014; 84(10): 772. CrossRef
Robotic right colectomy for hemorrhagic right colon cancer: a case report and review of the literature of minimally invasive urgent colectomy
Emanuele Felli, Francesco Brunetti, Mara Disabato, Chady Salloum, Daniel Azoulay, Nicola de’Angelis
World Journal of Emergency Surgery.2014;[Epub] CrossRef
Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status
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Indian Journal of Surgery.2014; 76(6): 436. CrossRef
Sham Feeding? Same Feeding?
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