Key result
Colorectal specialist management linked to ~3-fold higher primary anastomosis and fewer stomas in emergency colonic resections.
Why the study?
Does subspecialist colorectal management improve outcomes in patients undergoing emergency left colonic resection compared to general surgeons?
Population
196 consecutive patients who underwent emergency left colonic resection on an acute surgical unit between…
Comparison
Surgery managed by a colorectal (CR) specialist vs Surgery managed by a general surgeon
Design
Cohort
Follow-up
30-day
Authors
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May support subspecialist colorectal involvement in emergencies; leaves open confirmation via randomized trials before practice change.
Cohort (n=196)
Does subspecialist colorectal management improve outcomes in patients undergoing emergency left colonic resection compared to general surgeons?
Absolute Event Rate: 85.5% vs 28.7%
p-value: p=≤ 0.001
Subspecialist colorectal management of emergency left colonic resections safely achieves higher rates of primary anastomosis and lower stoma rates without increasing morbidity or mortality.
Gibbons et al. (2015) conducted a cohort in Left-sided colonic pathologies requiring emergency resection (n=196). Subspecialist colorectal (CR) management vs. General surgeon management was evaluated on Rate of primary anastomosis (p=≤ 0.001). Subspecialist colorectal management of emergency left colonic resections was associated with higher rates of primary anastomosis (85.5% vs 28.7%, P≤0.001) and lower stoma rates (40.4% vs 88.8%).
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