PDF(Pubmed)
Abstract：
UNASSIGNED: Creation of colostomy is still a commonly performed procedure in emergency settings, when intestinal anastomosis cannot be performed safely. Reversing a stoma has been linked with high rates of morbidity and also mortality.
UNASSIGNED: The primary goal of the study was to identify the risk of postoperative complications in patients undergoing colostomy liquidation. The secondary goal was to assess perioperative care parameters.
UNASSIGNED: The LIquidation of COlostomy (LICO) study is an open multicenter prospective cohort study that began in October 2022 and will continue until December 2023. Data from 20 Polish surgical departments were collected. Overall 45 patients were reported over the initial 3 months; based on that group we performed a preliminary analysis.
UNASSIGNED: Mean operative time was 163 min. Patients were operated on by specialists in 93.3% of cases. Complications occurred in 15 (33.3%) patients. Wound infection was the most common complication (17.8%). In 3 (6.7%) cases anastomotic leakage was diagnosed, and in 2 of those cases reoperation was required. The overall mortality rate was 2.2%. The mean length of hospital stay was 10.1 days. Preoperative fasting was used in 53.3% of patients, and the mechanical bowel preparation rate was 75.6%. Only in 8.9% of cases was laparoscopic access used for stoma reversal, and only in 1 out of 45 cases was mesh used for incisional peristomal hernia prophylactics. The stoma site was closed by single sutures in 73.3%, and negative pressure assisted closure was performed in 6.7% of patients.
UNASSIGNED: Colostomy liquidation is associated with significant morbidity and minor mortality in the Polish population. Standardized perioperative care should be established for stoma reversal surgery.
UNASSIGNED: The primary goal of the study was to identify the risk of postoperative complications in patients undergoing colostomy liquidation. The secondary goal was to assess perioperative care parameters.
UNASSIGNED: The LIquidation of COlostomy (LICO) study is an open multicenter prospective cohort study that began in October 2022 and will continue until December 2023. Data from 20 Polish surgical departments were collected. Overall 45 patients were reported over the initial 3 months; based on that group we performed a preliminary analysis.
UNASSIGNED: Mean operative time was 163 min. Patients were operated on by specialists in 93.3% of cases. Complications occurred in 15 (33.3%) patients. Wound infection was the most common complication (17.8%). In 3 (6.7%) cases anastomotic leakage was diagnosed, and in 2 of those cases reoperation was required. The overall mortality rate was 2.2%. The mean length of hospital stay was 10.1 days. Preoperative fasting was used in 53.3% of patients, and the mechanical bowel preparation rate was 75.6%. Only in 8.9% of cases was laparoscopic access used for stoma reversal, and only in 1 out of 45 cases was mesh used for incisional peristomal hernia prophylactics. The stoma site was closed by single sutures in 73.3%, and negative pressure assisted closure was performed in 6.7% of patients.
UNASSIGNED: Colostomy liquidation is associated with significant morbidity and minor mortality in the Polish population. Standardized perioperative care should be established for stoma reversal surgery.
摘要：
■创建结肠造口术仍然是紧急情况下的常用程序，当肠吻合术不能安全地进行。逆转造口与高发病率和高死亡率有关。
■本研究的主要目标是确定结肠造口术患者术后并发症的风险。次要目标是评估围手术期护理参数。
■结肠造口术（LICO）研究是一项开放的多中心前瞻性队列研究，始于2022年10月，将持续到2023年12月。收集了来自20个波兰外科部门的数据。在最初的3个月中报告了总共45名患者；基于该组，我们进行了初步分析。
■平均手术时间为163分钟。在93.3％的病例中，患者由专家进行手术。15例(33.3%)患者发生并发症。伤口感染是最常见的并发症（17.8%）。在3例（6.7％）中，诊断为吻合口漏，其中2例需要再次手术。总死亡率为2.2%。平均住院时间为10.1天。53.3%的患者采用术前禁食,机械肠道准备率为75.6%。仅在8.9％的病例中，腹腔镜手术用于造口逆转，45例中，仅有1例用于开腹口周围疝的预防。73.3%的造口通过单缝线闭合，在6.7%的患者中进行了负压辅助闭合。
■结肠造口术清理与波兰人群的高发病率和低死亡率相关。造口逆转手术应建立规范化的围手术期护理。
■本研究的主要目标是确定结肠造口术患者术后并发症的风险。次要目标是评估围手术期护理参数。
■结肠造口术（LICO）研究是一项开放的多中心前瞻性队列研究，始于2022年10月，将持续到2023年12月。收集了来自20个波兰外科部门的数据。在最初的3个月中报告了总共45名患者；基于该组，我们进行了初步分析。
■平均手术时间为163分钟。在93.3％的病例中，患者由专家进行手术。15例(33.3%)患者发生并发症。伤口感染是最常见的并发症（17.8%）。在3例（6.7％）中，诊断为吻合口漏，其中2例需要再次手术。总死亡率为2.2%。平均住院时间为10.1天。53.3%的患者采用术前禁食,机械肠道准备率为75.6%。仅在8.9％的病例中，腹腔镜手术用于造口逆转，45例中，仅有1例用于开腹口周围疝的预防。73.3%的造口通过单缝线闭合，在6.7%的患者中进行了负压辅助闭合。
■结肠造口术清理与波兰人群的高发病率和低死亡率相关。造口逆转手术应建立规范化的围手术期护理。
