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Colorectal disease : the official journal of the A... 10건

  1. [해외논문]   Issue Information   SCIE SCOPUS


    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 1 - 2 , 2018 , 1462-8910 ,

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   ESCP 2017 Snapshot Audit ‐ Editorial   SCIE SCOPUS

    Smart, Neil J. (Royal Devon & Exeter Hospital, Exeter, UK) , Nilsson, Per J. (Karolinska University Hospital, Stockholm, Sweden)
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 3 - 3 , 2018 , 1462-8910 ,

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   ESCP 2017 Snapshot Audit ‐ The patient perspective   SCIE SCOPUS

    Blackwell, Sue (ACPGBI Patient Liaison Group)
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 4 - 4 , 2018 , 1462-8910 ,

    초록

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   The 2017 European Society of Coloproctology (ESCP) international snapshot audit of left colon, sigmoid and rectal resections – study protocol   SCIE SCOPUS

    El‐ , Hussuna, Alaa , Chaudri, Sanjay , Frasson, Matteo , Gallo, Gaetano , Minaya, Ana , Negoi, Ionut , Pata, Francesco , Sá , nchez‐ , Guillé , n, Luis , Singh, Baljit , Glasbey, James , Magill, Laura , Mekic, Daniel , Nepogodiev, Dmitri , Perry, Rita , Bhangu, Aneel , Morton, Dion , Altomare, Donato , Bemelman, Willem , Brown, Steven , Buskens, Christianne , Denost, Quentin , Knowles, Charles , Laurberg, Søren , Lefè , vre, Jé , ré , mie , Mö , eslein, Gabriela , Pinkney, Thomas , Vaizey, Carolynne , Zmora, Oded
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 5 - 12 , 2018 , 1462-8910 ,

    초록

    Abstract Background Left hemicolectomy, sigmoid, and rectal resections are commonly performed colorectal operations. There is significant variability in the techniques utilised to undertake these operationsat patient, surgeon and unit level. Aim To explore differences in patients, techniques and outcomes across an international cohort to identify areas of practice variability resulting in apparent differences in outcome warranting further study. Endpoints A three‐stage data collection strategy collecting patient demographics, operative details and outcome markers. Several outcomes measures will be used including mortality, surgical morbidity (including anastomotic leak) and length of hospital stay. Methods A two‐month prospective audit to be performed across Europe in early 2017, co‐ordinated by the European Society of Coloproctology. The main audit will be preceded by a one‐week, five centre pilot. Sites will be asked to pre‐register for the audit and obtain appropriate regional or national approvals. During the study period all eligible operations will be recorded contemporaneously and followed‐up through to 30 days. The audit will be performed using a standardised pre‐determined protocol and a secure online database. In the first ESCP conducted audit in 2015, 38 countries registered 3208 patients undergoing right hemi‐colectomy, while in the second audit 2441 patients undergoing stoma closure were recruited from 48 countries. It is expected that equivalent numbers will be obtained in this audit. The report of this audit will be prepared in accordance with guidelines set by the STROBE (strengthening the reporting of observational studies in epidemiology) statement for observational studies. Discussion This multicentre, pan‐European audit will be delivered by colorectal surgeons and trainees in an organised and homogenous manner. The data obtained about areas of variability in provision or practice, and how this may impact upon outcomes, will serve to improve overall patient care as well as being hypothesis generating and inform areas needing future prospective study.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  5. [해외논문]   The 2017 European Society of Coloproctology (ESCP) international snapshot audit of left colon, sigmoid and rectal resections ‐ Executive Summary   SCIE SCOPUS


    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 13 - 14 , 2018 , 1462-8910 ,

    초록

    Abstract Background Left hemicolectomy, sigmoid, and rectal resections are commonly performed colorectal operations. There is significant variability in the techniques utilised to undertake these operationsat patient, surgeon and unit level. Aim To explore differences in patients, techniques and outcomes across an international cohort to identify areas of practice variability resulting in apparent differences in outcome warranting further study. Endpoints A three‐stage data collection strategy collecting patient demographics, operative details and outcome markers. Several outcomes measures will be used including mortality, surgical morbidity (including anastomotic leak) and length of hospital stay. Methods A two‐month prospective audit to be performed across Europe in early 2017, co‐ordinated by the European Society of Coloproctology. The main audit will be preceded by a one‐week, five centre pilot. Sites will be asked to pre‐register for the audit and obtain appropriate regional or national approvals. During the study period all eligible operations will be recorded contemporaneously and followed‐up through to 30 days. The audit will be performed using a standardised pre‐determined protocol and a secure online database. In the first ESCP conducted audit in 2015, 38 countries registered 3208 patients undergoing right hemi‐colectomy, while in the second audit 2441 patients undergoing stoma closure were recruited from 48 countries. It is expected that equivalent numbers will be obtained in this audit. The report of this audit will be prepared in accordance with guidelines set by the STROBE (strengthening the reporting of observational studies in epidemiology) statement for observational studies. Discussion This multicentre, pan‐European audit will be delivered by colorectal surgeons and trainees in an organised and homogenous manner. The data obtained about areas of variability in provision or practice, and how this may impact upon outcomes, will serve to improve overall patient care as well as being hypothesis generating and inform areas needing future prospective study.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection: an international, multi‐centre, prospective audit   SCIE SCOPUS

    Glasbey, James C. , Blanco‐ , Colino, Ruth , Kelly, Michael , Singh, Baljit , Bhangu, Aneel , Pinkney, Thomas , Poskus, Tomas , El‐ , Hussuna, Alaa , Battersby, Nick J. , Buchs, Nicolas C. , Buskens, Christianne , Chaudri, Sanjay , Frasson, Matteo , Gallo, Gaetano , Minaya‐ , Bravo, Ana Marí , a , Morton, Dion , Negoi, Ionut , Nepogodiev, Dmitri , Pata, Francesco , Sá , nchez‐ , Guillé , n, Luis , Zmora, Oded , Perry, Rita , Magill, Laura , Altomare, Donato , Bemelman, Willem , Brown, Steven , Denost, Quentin , Knowles, Charles , Laurberg, Søren , Lefevre, Jé , ré , mie H. , Mö , eslein, Gabriela , Pinkney, Tom , Vaizey, Carolynne , Bilali, S. , Bilali, V. , Salomon, M. , Cillo, M. , Estefania, D. , Patron Uriburu, J. , Ruiz, H. , Farina, P. , Carballo, F. , Guckenheimer, S. , Proud, D. , Brouwer, R. , Bui, A. , Nguyen, B. , Smart, P. , Warwick, A. , Theodore, J. E. , Herbst, F. , Birsan, T. , Dauser, B. , Ghaffari, S. , Hartig, N. , Stift, A.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 15 - 32 , 2018 , 1462-8910 ,

    초록

    Abstract Introduction The optimal bowel preparation strategy to minimise the risk of anastomotic leak is yet to be determined. This study aimed to determine whether oral antibiotics combined with mechanical bowel preparation (MBP+Abx) was associated with a reduced risk of anastomotic leak when compared to mechanical bowel preparation alone (MBP) or no bowel preparation (NBP). Methods A pre‐planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed. Patients undergoing elective left sided colonic or rectal resection with primary anastomosis between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. Results Of 3676 patients across 343 centres in 47 countries, 618 (16.8%) received MBP+ABx, 1945 MBP (52.9%) and 1099 patients NBP (29.9%). Patients undergoing MBP+ABx had the lowest overall rate of anastomotic leak (6.1%, 9.2%, 8.7% respectively) in unadjusted analysis. After case‐mix adjustment using a mixed‐effects multivariable regression model, MBP+Abx was associated with a lower risk of anastomotic leak (OR 0.52, 0.30–0.92, P = 0.02) but MBP was not (OR 0.92, 0.63–1.36, P = 0.69) compared to NBP. Conclusion This non‐randomised study adds ‘real‐world’, contemporaneous, and prospective evidence of the beneficial effects of combined mechanical bowel preparation and oral antibiotics in the prevention of anastomotic leak following left sided colorectal resection across diverse settings. We have also demonstrated limited uptake of this strategy in current international colorectal practice.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  7. [해외논문]   An international multicentre prospective audit of elective rectal cancer surgery; operative approach versus outcome, including transanal total mesorectal excision (TaTME)   SCIE SCOPUS

    Bhangu, Aneel , Minaya‐ , Bravo, Ana Marí , a , Gallo, Gaetano , Glasbey, James C. , Kamarajah, Sivesh , Pinkney, Thomas , El‐ , Hussuna, Alaa , Battersby, Nick J. , Buchs, Nicolas C. , Buskens, Christianne , Chaudri, Sanjay , Frasson, Matteo , Glasbey, James , Morton, Dion , Negoi, Ionut , Nepogodiev, Dmitri , Pata, Francesco , Sá , nchez‐ , Guillé , n, Luis , Singh, Baljit , Zmora, Oded , Perry, Rita , Magill, Laura , Altomare, Donato , Bemelman, Willem , Brown, Steven , Denost, Quentin , Knowles, Charles , Laurberg, Søren , Lefevre, Jé , ré , mie H. , Mö , eslein, Gabriela , Pinkney, Tom , Vaizey, Carolynne , Bilali, S. , Bilali, V. , Salomon, M. , Cillo, M. , Estefania, D. , Patron Uriburu, J. , Ruiz, H. , Farina, P. , Carballo, F. , Guckenheimer, S. , Proud, D. , Brouwer, R. , Bui, A. , Nguyen, B. , Smart, P. , Warwick, A. , Theodore, J. E. , Herbst, F. , Birsan, T. , Dauser, B. , Ghaffari, S. , Hartig, N. , Stift, A. , Argeny, S. , Unger, L.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 33 - 46 , 2018 , 1462-8910 ,

    초록

    Abstract Introduction Transanal total mesorectal excision (TaTME) has rapidly emerged as a novel approach for rectal cancer surgery. Safety profiles are still emerging and more comparative data is urgently needed. This study aimed to compare indications and short‐term outcomes of TaTME, open, laparoscopic, and robotic TME internationally. Methods A pre‐planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients undergoing elective total mesorectal excision (TME) for malignancy between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. Results Of 2579 included patients, 76.2% (1966/2579) underwent TME with restorative anastomosis of which 19.9% (312/1966) had a minimally invasive approach (laparoscopic or robotic) which included a transanal component (TaTME). Overall, 9.0% (175/1951, 15 missing outcome data) of patients suffered an anastomotic leak. On univariate analysis both laparoscopic TaTME (OR 1.61, 1.02–2.48, P = 0.04) and robotic TaTME (OR 3.05, 1.10–7.34, P = 0.02) were associated with a higher risk of anastomotic leak than non‐transanal laparoscopic TME. However this association was lost in the mixed‐effects model controlling for patient and disease factors (OR 1.23, 0.77–1.97, P = 0.39 and OR 2.11, 0.79–5.62, P = 0.14 respectively), whilst low rectal anastomosis (OR 2.72, 1.55–4.77, P P Conclusion This contemporaneous international snapshot shows that uptake of the TaTME approach is widespread and is associated with surgically and pathologically acceptable results.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  8. [해외논문]   Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi‐centre prospective audit   SCIE SCOPUS

    Sá , nchez‐ , Guillé , n, Luis , Nepogodiev, Dmitri , Sivrikoz, Emre , van Elst, Tim , Minaya, Ana , Pata, Francesco , Glasbey, James , Pinkney, Thomas , Bhangu, Aneel , El‐ , Hussuna, Alaa , Bhangu, Aneel , Buchs, Nicholas , Buskens, Christianne , Chaudri, Sanjay , Frasson, Matteo , Gallo, Gaetano , Minaya, Ana , Morton, Dion , Negoi, Ionut , Pata, Francesco , Singh, Baljit , Zmora, Oded , Pinkney, Thomas , Perry, Rita , Magill, Laura , Bhangu, Aneel , Altomare, Donato , Bemelman, Willem , Brown, Steven , Denost, Quentin , Knowles, Charles , Laurberg, Søren , Lefè , vre, Jé , ré , mie , Mö , eslein, Gabriela , Pinkney, Tom , Vaizey, Carolynne , Bilali, S. , Bilali, V. , Salomon, M. , Cillo, M. , Estefania, D. , Patron Uriburu, J. , Ruiz, H. , Farina, P. , Carballo, F. , Guckenheimer, S. , Proud, D. , Brouwer, R. , Bui, A. , Nguyen, B. , Smart, P. , Warwick, A. , Theodore, J. , Herbst, F. , Birsan, T. , Dauser, B. , Ghaffari, S. , Hartig, N. , Stift, A.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 47 - 57 , 2018 , 1462-8910 ,

    초록

    Abstract Introduction Some evidence suggests that primary anastomosis following left sided colorectal resection in the emergency setting may be safe in selected patients, and confer favourable outcomes to permanent enterostomy. The aim of this study was to compare the major postoperative complication rate in patients undergoing end stoma vs primary anastomosis following emergency left sided colorectal resection. Methods A pre‐planned analysis of the European Society of Coloproctology 2017 audit. Adult patients (> 16 years) who underwent emergency (unplanned, within 24 h of hospital admission) left sided colonic or rectal resection were included. The primary endpoint was the 30‐day major complication rate (Clavien‐Dindo grade 3 to 5). Results From 591 patients, 455 (77%) received an end stoma, 103 a primary anastomosis (17%) and 33 primary anastomosis with defunctioning stoma (6%). In multivariable models, anastomosis was associated with a similar major complication rate to end stoma (adjusted odds ratio for end stoma 1.52, 95%CI 0.83–2.79, P = 0.173). Although a defunctioning stoma was not associated with reduced anastomotic leak (12% defunctioned [4/33] vs 13% not defunctioned [13/97], adjusted odds ratio 2.19, 95%CI 0.43–11.02, P = 0.343), it was associated with less severe complications (75% [3/4] with defunctioning stoma, 86.7% anastomosis only [13/15]), a lower mortality rate (0% [0/4] vs 20% [3/15]), and fewer reoperations (50% [2/4] vs 73% [11/15]) when a leak did occur. Conclusions Primary anastomosis in selected patients appears safe after left sided emergency colorectal resection. A defunctioning stoma might mitigate against risk of subsequent complications.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Evaluating the incidence of pathological complete response in current international rectal cancer practice: the barriers to widespread safe deferral of surgery   SCIE SCOPUS

    Battersby, Nick , Glasbey, James C. , Neary, Peter , Negoi, Ionut , Kamarajah, Sivesh , Sgro, Alessandro , Bhangu, Aneel , Pinkney, Thomas , Frasson, Matteo , El‐ , Hussuna, Alaa , Battersby, Nick J. , Bhangu, Aneel , Buchs, Nicolas C. , Buskens, Christianne , Chaudri, Sanjay , Gallo, Gaetano , Glasbey, James , Minaya‐ , Bravo, Ana Marí , a , Morton, Dion , Nepogodiev, Dmitri , Pata, Francesco , Sá , nchez‐ , Guillé , n, Luis , Singh, Baljit , Zmora, Oded , Perry, Rita , Magill, Laura , Bhangu, Aneel , Altomare, Donato , Bemelman, Willem , Brown, Steven , Denost, Quentin , Knowles, Charles , Laurberg, Søren , Lefevre, Jé , ré , mie H. , Mö , eslein, Gabriela , Pinkney, Tom , Vaizey, Carolynne , Bilali, S. , Bilali, V. , Salomon, M. , Cillo, M. , Estefania, D. , Patron Uriburu, J. , Ruiz, H. , Farina, P. , Carballo, F. , Guckenheimer, S. , Proud, D. , Brouwer, R. , Bui, A. , Nguyen, B. , Smart, P. , Warwick, A. , Theodore, J. E. , Herbst, F. , Birsan,
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 58 - 68 , 2018 , 1462-8910 ,

    초록

    Abstract Introduction The mainstay of management for locally advanced rectal cancer is chemoradiotherapy followed by surgical resection. Following chemoradiotherapy, a complete response may be detected clinically and radiologically (cCR) prior to surgery or pathologically after surgery (pCR). We aim to report the overall complete pathological response (pCR) rate and the reliability of detecting a cCR by conventional pre‐operative imaging. Methods A pre‐planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients treated by elective rectal resection were included. A pCR was defined as a ypT0 N0 EMVI negative primary tumour; a partial response represented any regression from baseline staging following chemoradiotherapy. The primary endpoint was the pCR rate. The secondary endpoint was agreement between post‐treatment MRI restaging (yMRI) and final pathological staging. Results Of 2572 patients undergoing rectal cancer surgery in 277 participating centres across 44 countries, 673 (26.2%) underwent chemoradiotherapy and surgery. The pCR rate was 10.3% (67/649), with a partial response in 35.9% (233/649) patients. Comparison of AJCC stage determined by post‐treatment yMRI with final pathology showed understaging in 13% (55/429) and overstaging in 34% (148/429). Agreement between yMRI and final pathology for T‐stage, N‐stage, or AJCC status were each graded as ‘fair’ only ( n = 429, Kappa 0.25, 0.26 and 0.35 respectively). Conclusion The reported pCR rate of 10% highlights the potential for non‐operative management in selected cases. The limited strength of agreement between basic conventional post‐chemoradiotherapy imaging assessment techniques and pathology suggest alternative markers of response should be considered, in the context of controlled clinical trials.

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  10. [해외논문]   The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit   SCIE SCOPUS

    van der Pool, Anne , Rawlings, Alexandra , Sá , nchez‐ , Guillé , n, Luis , Kuiper, Sara , Negoi, Ionut , Buchs, Nicolas , El‐ , Hussuna, Alaa , Battersby, Nick J. , Buchs, Nicolas C. , Buskens, Christianne , Chaudri, Sanjay , Frasson, Matteo , Gallo, Gaetano , Minaya‐ , Bravo, Ana Marí , a , Morton, Dion , Nepogodiev, Dmitri , Pata, Francesco , Singh, Baljit , Zmora, Oded , Perry, Rita , Magill, Laura , Altomare, Donato , Bemelman, Willem , Brown, Steven , Denost, Christianne Buskens Quentin , Knowles, Charles , Laurberg, Søren , Lefevre, Jé , ré , mie H. , Mö , eslein, Gabriela , Pinkney, Tom , Vaizey, Carolynne , Bilali, S. , Bilali, V. , Salomon, M. , Cillo, M. , Estefania, D. , Patron Uriburu, J. , Ruiz, H. , Farina, P. , Carballo, F. , Guckenheimer, S. , Proud, D. , Brouwer, R. , Bui, A. , Nguyen, B. , Smart, P. , Warwick, A. , Theodore, J. E. , Herbst, F. , Birsan, T. , Dauser, B. , Ghaffari, S. , Hartig, N. , Stift, A. , Argeny, S. , Unger, L
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland v.20 suppl.6 ,pp. 69 - 89 , 2018 , 1462-8910 ,

    초록

    Abstract Background Laparoscopy has now been implemented as a standard of care for elective colonic resection around the world. During the adoption period, studies showed that conversion may be detrimental to patients, with poorer outcomes than both laparoscopic completed or planned open surgery. The primary aim of this study was to determine whether laparoscopic conversion was associated with a higher major complication rate than planned open surgery in contemporary, international practice. Methods Combined analysis of the European Society of Coloproctology 2017 and 2015 audits. Patients were included if they underwent elective resection of a colonic segment from the caecum to the rectosigmoid junction with primary anastomosis. The primary outcome measure was the 30‐day major complication rate, defined as Clavien‐Dindo grade III‐V. Results Of 3980 patients, 64% (2561/3980) underwent laparoscopic surgery and a laparoscopic conversion rate of 14% (359/2561). The major complication rate was highest after open surgery (laparoscopic 7.4%, converted 9.7%, open 11.6%, P 0.001). After case mix adjustment in a multilevel model, only planned open (and not laparoscopic converted) surgery was associated with increased major complications in comparison to laparoscopic surgery (OR 1.64, 1.27–2.11, P 0.001). Conclusions Appropriate laparoscopic conversion should not be considered a treatment failure in modern practice. Conversion does not appear to place patients at increased risk of complications vs planned open surgery, supporting broadening of selection criteria for attempted laparoscopy in elective colonic resection.

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