Emergency Laparoscopic Colectomy


Presented by Scott Russell Steele, MD at the SAGES 2013 Annual Meeting; SAGES/ISLCRS Panel: Colorectal Potpourri

disclosures–4 sec
consult–13 sec
diagnostic eval–1:51
lap approach in the emergent setting–2:25
total abdominal colectomy–2:54
lap colectomy–3:36 http://www.ncbi.nlm.nih.

Keyword(s): 23-h hospital stay, abdominal distention, abdominal pain, abdominal wall, academic medical centers, ACS-NSQIP database, acute malignant colonic obstruction, adhesiolysis, admission severity, albumin, American Journal of Surgery, anastomosis, anastomotic leak, Annals of Surgery, anorexia, anterior resection, Asacol, barriers, BF, biological pathways, bloating, bloody stools, BMI, bowel resection, bowel wall, British Journal of Surgery, camera, care path, case control study, case matched, case mix, case series, case-controlled comparison, case-matched comparison, case-matched study, cecal diverticulitis, clinical outcomes, co-morbidity, Cochrane database of systematic reviews, cohort analysis, colonic operation, colonoscopy, Colorectal Disease, comorbidities, comparative series, comparative study, completion proctocolectomy, complex abdominal colorectal surgery, complex pelvic colorectal surgery, complication rate, complication rates, consensus group, controlled rehabilitation, conventional care, conversion rates, convert, cosmesis, cost, cost analysis, cost structure, cost-effective, Cr, CR cx, CR surgery, CREAD protocol, Crohns, CT scan, data set, DCR, defecation, demographics, Denmark, diagnostic eval, diet, dietary managment, disease process, disease severity, diverticulitis, diverting colostomy, DVT prophylaxis, early ambulation, EBL, elective setting, emergency colectomy, emergency lap colectomy, emergency lap-assisted right hemicolectomy, emergency lap-right cecal diverticulitis, emergency partial colectomy, emergency tx, emergent role, emergent setting, end stoma, endpoints, epidural, epidural anaesthesia, equipment availability, ERAS program, ERP, ETOH, ETS, Europe, evidence-based, exteriorization, extraction sites, fast track postop care pathway, fast track postop management protocol, fast-track surgery, feasibility, fever, financial outcomes, flare, Foley, generalized tenderness, GI consult, GI function, GI morbidity, GI surgeons, half sigma, hand assist, hand-assist, Hartmann procedure, Hct, health outcomes, healthcare financing, healthcare issues, hernia repair, Hinchey III diverticulitis, Hinchey IV diverticulitis, homecare, hospital bed utilization, hospital discharge, hydrocortisone, IBD, ileal pouches, ileocolic resection, ileostomy, ileus, inflammatory disease, inflammatory pathways, international hospital stay, intestinal resection, intestinal surgery, intracorporeal, intraop complication rate, intraperitoneal, IPAA, ISLCRS, IV ABX, IV morphine, IVF, JACS, Japan, Journal of GI surgery, Journal of Laparoendoscopic & Advanced Surgical Techniques, lap approach, lap colon resection trends, lap fast-track protocol, lap management, lap mobilization, lap rectal resection, lap segmental colectomy, lap stoma takedown, lap subtotal colectomy, lap surgery, lap tx, lap-assisted resection, laparoscopy, laparotomy, LBO, leak, left Trendelenburg, LGI recovery, local anesthetic, LOS, M&M, male, management algorithm, manipulation, Marcaine, Medicare, medications, mesorectal dissection, metanalysis, metric, minimally invasive, morbidly obese, multicenter, multicenter trial, multimodal postop care protocols, multinational survey, multiport lap colectomy, multivariate analysis, multivariate regression, multvariate analysis, N&V, national culture, national database review, nationwide inpt sample, nausea, neoplasia, NG, NG insertion, NPO, NSAIDs, NSQIP, obstruction, obstructive disease, op time, open approach, open colectomy, open laparotomy, open procedure, open right hemicolectomy, open segmental colectomy, operating facility, operational efficiency, opioid free, oral analgesia, oral Tylenol, ostomy, outlier, pain score, pathology, PC, PCA, PCI, PE, pelvis, perforated diverticulitis, perineal dissection, periop care plan, placebo data, PMH, pneumatosis, PONV, pooled analysis, port placements, postop complications, postop M&M, preemptive epidural anesthesia/analgesia, preop sepsis, process improvement, process standardization, proctectomy, propensity-matched analysis, pt factors, pt positioning, pt satisfaction, RCT, readmission, rectal transection, rehabilitation, reimbursement, reimbursement codes, Remicade, reoperation, resident skills, resource utilization, restorative emergent colectomy, resuscitation, retrospective study, ROS, SBO, scope, Seminars in Colon & Rectal Surgery, short term benefits, sigmoid resection, sigmoid volvulus, SILS, six sigma, skilled nursing, specimen, splenic flexure, standard deviation, standardization, standardized operative technique, statistical process control, stenting, stoma sites, stoma takedown, stomas, stool, stricture, Surgery, Surgical Endoscopy, Surgical Laparoscopy & Endoscopy, Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, surgical quality, surgical technique, TAC, tachycardia, TAP block, team-work, technical expertise, thoracic epidural, total abdominal colectomy, TPC-I, TPN, traditional postop care, U.S., UC, UGI recovery, univariate analysis, UTI, variability, vascular division, volvulus, WBC, World Journal of Surgery, wound, wound infection

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