Discharge within 24 hours after elective laparoscopic colorectal surgery was achieved in 6.1% of patients, with a 30-day readmission rate of 7.8% and a reoperation rate of 3.9%.
Cohort (n=833)
Yes
Does ambulatory laparoscopic colectomy with discharge within 24 hours result in safe short-term clinical outcomes in selected patients undergoing elective colorectal resection?
Discharge within 24 hours following elective laparoscopic colorectal interventions appears safe and feasible in selected patients when combined with a standardized enhanced recovery protocol.
Background: Enhanced or accelerating recovery programs have significantly reduced hospital length stay after elective colorectal interventions. Our work aims at reporting an initial experience with ambulatory laparoscopic colectomy (ALC) to assess the criteria of discharge and outcomes. Methods: Between 2006 and 2016, data regarding patients having benefited from elective laparoscopic colorectal resections in two main centres in the United Kingdom have been analysed. Both benign and malignant pathologies were included. A standardised enhanced recovery program was performed for each patient, except epidural analgesia was replaced with single shot spinal infiltration. Patients were followed up through a telephone call system by a nurse. Short-term clinical outcomes were analysed. Results: A total of 833 patients were included and 51 (6.1%) were discharged within 24 h following surgery. Of these, 4 out of 51 (7.8%) patients came back hospital within 30 days of discharge; 2 (3.9%) required reoperation (Small bowel obstruction and wound abscess drainage). Conclusions: This study highlights that a 24-h discharge following elective laparoscopic colorectal interventions seems safe and feasible in selected patients. Although challenging to achieve, a standardised approach to laparoscopic surgery in combination with strict adherence to an enhanced recovery protocol are the fundamental elements of this path.
Popeskou et al. (Mon,) conducted a cohort in Colorectal Laparoscopic Surgery (n=833). Discharge within 24 hours after surgery was evaluated on Hospital readmission within 30 days of discharge. Discharge within 24 hours after elective laparoscopic colorectal surgery was achieved in 6.1% of patients, with a 30-day readmission rate of 7.8% and a reoperation rate of 3.9%.