RT Journal Article
SR Electronic
T1 The role of laparoscopy in emergency colorectal surgery
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1333
OP 1340
DO 10.15537/smj.2022.43.12.20220658
VO 43
IS 12
A1 Nahar A. Alselaim
A1 Haifa A. Altoub
A1 Mohammed K. Alhassan
A1 Raghad M. Alhussain
A1 Abdullah A. Alsubaie
A1 Farah A. Almomen
A1 Abrar M. Almutairi
A1 Sultanah F. Bin Gheshayan
YR 2022
UL http://smj.org.sa/content/43/12/1333.abstract
AB 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.