title: Emergency laparoscopic-assisted right hemicolectomy: can we achieve outcomes similar to elective operation?
abstract: The aim of this study was to compare short-term clinical outcomes of elective and emergency laparoscopic-assisted right hemicolectomy. Between January 2005 and December 2009, 181 patients had laparoscopic-assisted right hemicolectomy performed at our institute (148 elective and 33 emergency cases). The demographic data, operative details, and short-term outcomes were collected. There were 104 men and 77 women. The median age was 69 years (range, 22-88 years). The demographic data of the 2 groups were similar except the patients were younger in the emergency surgery group (60 vs. 69 years; P=.02). The operating time of the emergency group was significantly longer then the elective group (165 vs. 150 minutes; P<.001) but the intraoperative blood loss was similar. The postoperative complication and recovery were similar between the 2 groups. In selected clinical settings, emergency laparoscopic-assisted right hemicolectomy can be safely performed without worsening the clinical outcomes.
authors.affiliation: Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China. jimmylicm@surgery.cuhk.edu.hk
authors.forename: Jimmy Chak-Man
authors.initials: JC
authors.lastname: Li
authors.forename: Sophie Sok-Fei
authors.initials: SS
authors.lastname: Hon
authors.forename: Simon Siu-Man
authors.initials: SS
authors.lastname: Ng
authors.forename: Janet Fung-Yee
authors.initials: JF
authors.lastname: Lee
authors.forename: Wing-Wa
authors.initials: WW
authors.lastname: Leung
authors.forename: Ka-Lau
authors.initials: KL
authors.lastname: Leung
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D017558:Elective Surgical Procedures; D004630:Emergencies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult