Colectomy for caecal and sigmoid volvulus: a national analysis of outcomes and risk factors for postoperative complications

被引:17
作者
Althans, A. R. [1 ]
Aiello, A. [2 ]
Steele, S. R. [3 ]
Bhama, A. R. [3 ,4 ]
机构
[1] Case Western Reserve Univ, Sch Med, Cleveland, OH USA
[2] Cleveland Clin Fdn, Dept Quantitat Hlth Sci, Lerner Res Inst, 9500 Euclid Ave, Cleveland, OH 44195 USA
[3] Cleveland Clin Fdn, Digest Dis & Surg Inst, Dept Colorectal Surg, 9500 Euclid Ave A30, Cleveland, OH 44195 USA
[4] Rush Univ, Div Colorectal Surg, Dept Surg, Med Ctr, Chicago, IL 60612 USA
关键词
Volvulus; postoperative complications; risk factors; sigmoid volvulus; cecal volvulus; COLONIC VOLVULUS; MANAGEMENT; EXPERIENCE;
D O I
10.1111/codi.14747
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Aim Colonic volvulus is a common entity encountered by colorectal surgeons, but there are few reports of national data regarding postoperative outcomes. The aim of this study was to describe the volvulus population, 30-day outcomes following right- and left-sided colectomy and risk factors for postoperative complications. Method The American College of Surgeons National Surgical Quality Improvement Program Database from 2012 to 2015 was utilized to identify patients with the diagnosis of 'volvulus' who underwent right- or left-sided colectomy. Primary outcomes were overall morbidity and mortality. Results A total of 2175 patients were identified (661 right colectomy and 1514 left colectomy). Risk factors for complications following right-sided colectomy included: age, male gender, smoker, systemic inflammatory response syndrome, sepsis, septic shock and American Society of Anesthesiologsts class >= 4. Risk factors for complications following left-sided colectomy included: age, male gender, systemic inflammatory response syndrome, sepsis and septic shock. Conclusion Several nonmodifiable risk factors were identified for complications following colectomy for volvulus. These risk factors can be used in patient/family counselling and discharge planning.
引用
收藏
页码:1445 / 1452
页数:8
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