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The role of laparoscopy in emergency colorectal surgery.
Alselaim, Nahar A; Altoub, Haifa A; Alhassan, Mohammed K; Alhussain, Raghad M; Alsubaie, Abdullah A; Almomen, Farah A; Almutairi, Abrar M; Bin Gheshayan, Sultanah F.
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  • Alselaim NA; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
  • Altoub HA; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
  • Alhassan MK; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
  • Alhussain RM; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
  • Alsubaie AA; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
  • Almomen FA; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
  • Almutairi AM; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
  • Bin Gheshayan SF; From College of Medicine (Alselaim, Altoub, Bin Gheshayan), King Saud bin Abdulaziz University for Health Sciences; from the Research Unit (Almutairi), College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences; from the College of Medicine (Alhassan), King Saud Unive
Saudi Med J ; 43(12): 1333-1340, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36517055
OBJECTIVES: To assess the outcomes of the laparoscopic approach compared to those of the open approach in emergency colorectal surgery. METHODS: This retrospective cohort study included all patients aged >15 years who underwent emergency colorectal surgery from 2016-2021 at King Abdulaziz Medical City, Riyadh, Saudi Arabia. Patients were divided based on the surgical approach into laparoscopic and open groups. RESULTS: A total of 241 patients (182 open resections, 59 laparoscopic approaches) were included in this study. The length of stay in the intensive care unit was shorter in the laparoscopic than in the open group (1±3 days vs. 7±16 days). After multivariable logistic regression, patients undergoing laparoscopic resection had a 70% lower risk of surgical site infection than those undergoing open surgery (adjusted odds ratio=0.33, 95% confidence interval: [0.06-1.67]), a difference that was not significant (p=0.18). Lastly, patients who underwent open surgery had a high proportion of 30-day mortality (n=26; 14.3%), compared to those who underwent laparoscopic resection (n=2; 3.4%, p=0.023). CONCLUSION: Laparoscopy in emergency colorectal surgery is safe and feasible, with a trend toward better outcomes. Colorectal surgery specialization is an independent predictor of an increased likelihood of undergoing laparoscopy in emergency colorectal surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Laparoscopía / Cirugía Colorrectal Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Saudi Med J Año: 2022 Tipo del documento: Article Pais de publicación: Arabia Saudita
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Laparoscopía / Cirugía Colorrectal Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Saudi Med J Año: 2022 Tipo del documento: Article Pais de publicación: Arabia Saudita