Brandt Erik, Poulsen Martin, Lykke Jakob, Jess Per, Ovesen Henrik
Department of Surgery, Roskilde Hospital, Denmark.
Dan Med J. 2013 Jul;60(7):A4658.
Fast-track laparoscopic colon surgery has gained wide acceptance worldwide. Post-operative hospital stays of 2-5 days have typically been reported. However, in our department some of the patients have been discharged within 24 h after surgery. The aim of this study was to describe differences in demographic and perioperative data between those patients discharged within 24 h and those discharged on days 2-4 post-operatively.
Data were collected retrospectively from August 2008 to May 2012. A total of 24 patients undergoing elective right-sided hemicolectomy or sigmoidectomy for colon cancer were discharged within 24 h. These 24 patients were compared with 209 patients undergoing the same procedures, but discharged on the second to the fourth post-operative day. All patients were operated laparoscopically according to our fast-track regimen. Demographic data and short-term outcomes were compared between the two groups.
We found that the median age (64 years versus 70 years) (p = 0.018) as well as the median operating time (120 min. versus 155 min.) (p = 0.002) were significantly lower for the 24-h stay group. No other significant differences were found between the two groups.
This study showed that discharge within the first 24 h after elective laparoscopic fast-track colon surgery was significantly associated with lower age and shorter duration of surgery.
not relevant.
not relevant.
快速康复腹腔镜结肠手术已在全球范围内得到广泛认可。术后住院时间通常报道为2 - 5天。然而，在我们科室，部分患者术后24小时内即可出院。本研究旨在描述术后24小时内出院患者与术后第2 - 4天出院患者在人口统计学和围手术期数据方面的差异。
回顾性收集2008年8月至2012年5月的数据。共有24例行择期结肠癌右半结肠切除术或乙状结肠切除术的患者在24小时内出院。将这24例患者与209例接受相同手术但在术后第二天至第四天出院的患者进行比较。所有患者均按照我们的快速康复方案行腹腔镜手术。比较两组患者的人口统计学数据和短期预后。
我们发现，24小时住院组的年龄中位数（64岁对70岁）（p = 0.018）以及手术时间中位数（120分钟对155分钟）（p = 0.002）显著更低。两组之间未发现其他显著差异。
本研究表明，择期腹腔镜快速康复结肠手术后24小时内出院与年龄较低和手术时间较短显著相关。
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