| Shih FJ. |
------>authors3_c=None ------>paper_class1=2 ------>Impact_Factor=None ------>paper_class3=0 ------>paper_class2=0 ------>vol= ------>confirm_bywho=chii ------>insert_bywho=fujin ------>Jurnal_Rank=None ------>authors4_c=None ------>comm_author= ------>patent_EDate=None ------>authors5_c=None ------>publish_day=None ------>paper_class2Letter=None ------>page2=114 ------>medlineContent= ------>unit=H0100 ------>insert_date=20021002 ------>iam=1 ------>update_date= ------>author=??? ------>change_event=5 ------>ISSN=None ------>authors_c=None ------>score=-29 ------>journal_name=Proceedings of the Second International Intensive Care Nursing, Hague, Netherlands ------>paper_name=Care of the patients with pulmonary complications following cardiac surgery ------>confirm_date=20021007 ------>tch_id=091091 ------>pmid=19888953 ------>page1=113 ------>fullAbstract=Abstract Aim: We analysed the outcome of a consecutive series of 500 unselected patients who underwent elective laparoscopic colorectal resection with anastomosis (ELCRA) under the care of a single surgeon. Method: A prospectively collected electronic database of all laparoscopic procedures: April 2001 - September 2008 was analysed. Results: 500 ELCRAs were performed (230 male, 270 female), mean age 65.6 (range 19-93yrs), ASA grade I (103), II (246), III (145), IV (6). 217 underwent high anterior resection. 131 TMEs (55 covering ileostomies) and 152 right/extended right resections and 240 operations were performed by trainees under supervision. The indications for surgery included cancer (340), diverticular disease (96), Crohn~s disease (40) and polyps (24). Mean operating time was 115 min (35-550min). There were 8 (1.6%) conversions. The mean length of stay was 5.2 (median 4) days. 93 (18.6%) patients had an inpatient complication including ileus (22), wound infection (14), anastomotic leakage (12), enterotomy (2), "off screen" enterotomy (2) abscess (3), ureteric injury (1), cardiac arrhythmia (12), myocardial infarction (5) pulmonary embolus (4), pneumonia (1), C. Difficile (3), retention of urine (9). There were 20(4%) readmissions including ileus (4), urinary retention (3), abscess formation (2) and leakage (2). The 30-day mortality was 9/500 (1.8%) following anastomotic leakage (3), duodenal enterotomy (1) bleeding duodenal ulcer (1) C Difficile infection (1) and cardiac complications(3). Conclusion: This unselected cohort of patients (the largest single surgeon series in the UK), demonstrates that in trained hands low conversion and complication rates can be consistently achieved. ------>tmu_sno=None ------>sno=6006 ------>authors2=None ------>authors3=None ------>authors4=None ------>authors5=None ------>authors6=None ------>authors6_c=None ------>authors=Shih FJ. ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c=None ------>publish_area=None ------>updateTitle=Laparoscopic colorectal surgery - why would you not want to have it and, more importantly, not be trained in it? A consecutive series of 500 elective resections with anastomoses. ------>language=2 ------>check_flag= ------>submit_date= ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho= ------>publish_year=1986 ------>submit_flag= ------>publish_month=None |