title: [Clinical pathway evaluation for left colectomy in abdominal surgery].
abstract: At the end of 2008, a left colectomy clinical pathway was implemented at Clinique Saint-Joseph (CHC) in Liège (Belgium). A sample of 213 patients with benign or malignant pathology requiring laparoscopic left colon resection was included in this clinical pathway during the years 2009 to 2015. We focused on the compliance with the protocol, on the complication rate and the incidence of re-hospitalization within 30 days after surgery. In comparison with a historical control group, we observed that the compliance was excellent (superior to 80 %) from 2009 to 2015. The re-hospitalization did not differ though the complication rate decreased. Although the hospital stay was not our primary objective, it decreased significantly from 8 to 4 days (average). This analysis leads to the conclusion that the introduction of a clinical pathway, when it is well prepared and brings together all the implicated persons with the same goal, is directly beneficial to the patient and the quality of its management.
authors.affiliation: Service de Chirurgie Abdominale, Clinique Saint-Joseph (CHC), Liège, Belgique.
authors.forename: L
authors.initials: L
authors.lastname: Mattart
authors.affiliation: Service de Chirurgie Abdominale, Clinique Saint-Joseph (CHC), Liège, Belgique.
authors.forename: M
authors.initials: M
authors.lastname: Stevens
authors.affiliation: Département de l'Education, Université de Liège, Belgique.
authors.forename: D
authors.initials: D
authors.lastname: Magis
authors.affiliation: Service de Chirurgie Abdominale, Clinique Saint-Joseph (CHC), Liège, Belgique.
authors.forename: P
authors.initials: P
authors.lastname: Magotteaux
authors.affiliation: Service de Chirurgie Abdominale, Clinique Saint-Joseph (CHC), Liège, Belgique.
authors.forename: C
authors.initials: C
authors.lastname: Jehaes
authors.affiliation: Service de Chirurgie Abdominale, Clinique Saint-Joseph (CHC), Liège, Belgique.
authors.forename: B
authors.initials: B
authors.lastname: Monami
authors.affiliation: Service de Chirurgie Abdominale, Clinique Saint-Joseph (CHC), Liège, Belgique.
authors.forename: S
authors.initials: S
authors.lastname: Markiewicz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods; D019091:Critical Pathways; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D055815:Young Adult
keywords:  Colorectal cancer;  Hospital stay ;  Laparoscopy ; Clinical pathway 