Forty-eight hours hospitalization after laparoscopic colorectal surgery. Feasability andpredictive factors: F36


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Abstract

Aim:Fast track surgery or enhanced postoperative recoveryprogrammes have been developed to accelerate recovery, reduce morbidity and shorten hospital stay. The aim of this study was to determine the feasibility and safety of short hospital stay in colorectal laparoscopic surgery and to identifypredictive factors.Method:A retrospective analysis was performed from aprospective database from all patients who underwent laparoscopic colorectal resection between June 2000 and May 2009. Patients were divided into two groups: G1: short hospital stay (≤ 48 hours), G2: regular hospital stay (> 48 hours). Univariate analysis was performed to identifypredictive factors for short hospital stay.Results:Seven hundred and twenty-eight consecutive colorectal laparoscopicprocedures were included. One hundred and seventy-three (23.8%) patients belonged to G1. On multivariate analysis, ASA I-II (P = 0.012), operative time < 180 min (P = 0.0001), sigmoidectomy (P = 0.0001) and postoperative recovery without ICU (P = 0.0059) were statistically significantly related to G1. Patients with short stay hospitalization did not show higher rates of readmission or postoperative complications.Conclusion:Short hospital stay is safe and feasible in laparoscopic colorectal surgery without increasing morbidity or the readmission rate. There existpredictive factors that identify patients suitable for this management.

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