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Published in: Journal of Gastrointestinal Surgery 11/2014

01-11-2014 | SSAT Other

Improving Outcomes and Cost-Effectiveness of Colorectal Surgery

Authors: Scott R. Steele, Joshua Bleier, Brad Champagne, Imran Hassan, Andrew Russ, Anthony J. Senagore, Patricia Sylla, Alessio Pigazzi

Published in: Journal of Gastrointestinal Surgery | Issue 11/2014

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Excerpt

In this changing health-care climate, where coverage and reimbursement for complications and readmission may be radically altered, as well as an increased focus on appropriate utilization management of all hospital resources, tremendous focus is necessary to evaluate ways to improve outcomes and cost-effectiveness. It is in this light that enhanced care pathways and practice patterns ranging from the use of minimally invasive approaches or diversion to the way we train surgeons are increasingly scrutinized. Furthermore, identifying those patients at high-risk for complications ahead of time and intervening, where applicable, to mitigate this risk is of utmost importance. Yet, as surgeons, we must also be involved in all aspects of care, from goal setting and managing patient expectations in the clinic, to training nursing personnel on the proper care and expected postoperative course for patients undergoing colorectal procedures. Combined, we then have a realistic chance of reversing the trend that colorectal surgery currently accounts for 25 % of all operative complications and still has an average length of stay of 9 days for a standard elective colon resection.13 In this manuscript, we will briefly review various efforts aimed at improving outcomes, efficiency, and cost-effectiveness following colorectal surgery. …
Literature
1.
go back to reference Schilling PL, Dimick JB, Birkmeyer JD. Prioritizing quality improvement in general surgery. J Am Coll Surg 2008;207:698–704.CrossRefPubMed Schilling PL, Dimick JB, Birkmeyer JD. Prioritizing quality improvement in general surgery. J Am Coll Surg 2008;207:698–704.CrossRefPubMed
2.
go back to reference Longo WE, Virgo KS, Johnson FE, et al. Risk factors for morbidity and mortality after colectomy for colon cancer. Dis Colon Rectum 2000;43:83–91.CrossRefPubMed Longo WE, Virgo KS, Johnson FE, et al. Risk factors for morbidity and mortality after colectomy for colon cancer. Dis Colon Rectum 2000;43:83–91.CrossRefPubMed
3.
go back to reference Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery 2011;149:830–840.CrossRefPubMed Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery 2011;149:830–840.CrossRefPubMed
4.
go back to reference Schoetz DJJ, Bockler M, Rosenblatt MS, et al. ‘Ideal’ length of stay after colectomy: whose ideal? Dis Colon Rectum 1997;40:806–10.CrossRefPubMed Schoetz DJJ, Bockler M, Rosenblatt MS, et al. ‘Ideal’ length of stay after colectomy: whose ideal? Dis Colon Rectum 1997;40:806–10.CrossRefPubMed
5.
go back to reference Bokey EL, Chapuis PH, Fung C, et al. Postoperative morbidity and mortality following resection of the colon and rectum for cancer. Dis Colon Rectum 1995; 38:480–7.CrossRefPubMed Bokey EL, Chapuis PH, Fung C, et al. Postoperative morbidity and mortality following resection of the colon and rectum for cancer. Dis Colon Rectum 1995; 38:480–7.CrossRefPubMed
6.
go back to reference Wind J, Hofland J, Preckel B, et al. Perioperative strategy in colonic surgery; laparoscopy and/or fast track multimodal management versus standard care (LAFA trial). BMC Surg 2006; 6:16.PubMedCentralCrossRefPubMed Wind J, Hofland J, Preckel B, et al. Perioperative strategy in colonic surgery; laparoscopy and/or fast track multimodal management versus standard care (LAFA trial). BMC Surg 2006; 6:16.PubMedCentralCrossRefPubMed
7.
go back to reference Archibald LH, Ott MJ, Gale CM, Zhang J, Peters MS, Stroud GK. Enhanced recovery after colon surgery in a community hospital system. Dis Colon Rectum 2011;54:840–5.CrossRefPubMed Archibald LH, Ott MJ, Gale CM, Zhang J, Peters MS, Stroud GK. Enhanced recovery after colon surgery in a community hospital system. Dis Colon Rectum 2011;54:840–5.CrossRefPubMed
8.
go back to reference Kiran RP, Delaney CP, Senagore AJ, Steel M, Garafalo T, Fazio VW. Outcomes and prediction of hospital readmission after intestinal surgery. J Am Coll Surg 2004;198:877–83.CrossRefPubMed Kiran RP, Delaney CP, Senagore AJ, Steel M, Garafalo T, Fazio VW. Outcomes and prediction of hospital readmission after intestinal surgery. J Am Coll Surg 2004;198:877–83.CrossRefPubMed
9.
go back to reference O’Brien DP, Senagore A, Merlino J, Brady K, Delaney C. Predictors and outcome of readmission after laparoscopic intestinal surgery. World J Surg 2007;31:2430–5.CrossRefPubMed O’Brien DP, Senagore A, Merlino J, Brady K, Delaney C. Predictors and outcome of readmission after laparoscopic intestinal surgery. World J Surg 2007;31:2430–5.CrossRefPubMed
10.
go back to reference Wick EC, Gibbs L, Indorf LA, Varma MG, Garcia-Aguilar J. Implementation of Quality Measures to Reduce Surgical Site Infection in Colorectal Patients. Dis Colon Rectum 2008;51:1004–1009.CrossRefPubMed Wick EC, Gibbs L, Indorf LA, Varma MG, Garcia-Aguilar J. Implementation of Quality Measures to Reduce Surgical Site Infection in Colorectal Patients. Dis Colon Rectum 2008;51:1004–1009.CrossRefPubMed
11.
go back to reference Stulberg JJ, Delaney CP, Neuhauser DV, Aron DC, Fu P, Koroukian SM. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA 2010;303:2479–85.CrossRefPubMed Stulberg JJ, Delaney CP, Neuhauser DV, Aron DC, Fu P, Koroukian SM. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA 2010;303:2479–85.CrossRefPubMed
12.
go back to reference Scott EM, Buckland R. A systematic review of intraoperative warming to prevent postoperative complications. AORN J 2006; 83:1090–1104,1107-13. Scott EM, Buckland R. A systematic review of intraoperative warming to prevent postoperative complications. AORN J 2006; 83:1090–1104,1107-13.
13.
go back to reference Greif R, Laciny S, Rapf B, Hickle RS, Sessler DI. Supplemental oxygen reduces the incidence of postoperative nausea and vomiting. Anesthesiology 1999;91:1246–1252.CrossRefPubMed Greif R, Laciny S, Rapf B, Hickle RS, Sessler DI. Supplemental oxygen reduces the incidence of postoperative nausea and vomiting. Anesthesiology 1999;91:1246–1252.CrossRefPubMed
14.
go back to reference Orhan-Sungur M, Kranke P, Sessler D, Apfel CC. Does supplemental oxygen reduce postoperative nausea and vomiting? A meta-analysis of randomized controlled trials. Anesth 2008;106:1733–1738. Orhan-Sungur M, Kranke P, Sessler D, Apfel CC. Does supplemental oxygen reduce postoperative nausea and vomiting? A meta-analysis of randomized controlled trials. Anesth 2008;106:1733–1738.
15.
go back to reference Mahajna A, Krausz M, Rosin D, et al. Bowel preparation is associated with spillage of bowel contents in colorectal surgery. Dis Colon Rectum 2008;48:1626–1631.CrossRef Mahajna A, Krausz M, Rosin D, et al. Bowel preparation is associated with spillage of bowel contents in colorectal surgery. Dis Colon Rectum 2008;48:1626–1631.CrossRef
16.
go back to reference Guenaga KF, Matos D, Castro AA, Atallah AN, Wille-Jorgensen P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst Rev 2003;2:CD001544.PubMed Guenaga KF, Matos D, Castro AA, Atallah AN, Wille-Jorgensen P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst Rev 2003;2:CD001544.PubMed
17.
go back to reference Jung B, Lannerstad O, Pahlman L, Arodell M, Unosson M, Nilsson E. Preoperative mechanical preparation of the colon: the patient’s experience. BMC Surg 2007;7:5.PubMedCentralCrossRefPubMed Jung B, Lannerstad O, Pahlman L, Arodell M, Unosson M, Nilsson E. Preoperative mechanical preparation of the colon: the patient’s experience. BMC Surg 2007;7:5.PubMedCentralCrossRefPubMed
18.
go back to reference Englesbe MJ, Brooks L, Kubus J, Luchtefeld M, Lynch J, Senagore A, Eggenberger JC, Velanovich V, Campbell DA Jr. A statewide assessment of surgical site infection following colectomy: the role of oral antibiotics. Ann Surg 2010;252:514–9.PubMedCentralPubMed Englesbe MJ, Brooks L, Kubus J, Luchtefeld M, Lynch J, Senagore A, Eggenberger JC, Velanovich V, Campbell DA Jr. A statewide assessment of surgical site infection following colectomy: the role of oral antibiotics. Ann Surg 2010;252:514–9.PubMedCentralPubMed
19.
go back to reference Anthony T, Murray BW, Sum-Ping JT, Lenkovsky F, Vornik VD, Parker BJ, McFarlin JE, Hartless K, Huerta S. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg 2011;146:263–9.CrossRefPubMed Anthony T, Murray BW, Sum-Ping JT, Lenkovsky F, Vornik VD, Parker BJ, McFarlin JE, Hartless K, Huerta S. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg 2011;146:263–9.CrossRefPubMed
20.
go back to reference Senagore AJ, Delaney CP. A critical analysis of laparoscopic colectomy at a single institution: lessons learned after 1000 cases. Am J Surg 2006;191:377–80.CrossRefPubMed Senagore AJ, Delaney CP. A critical analysis of laparoscopic colectomy at a single institution: lessons learned after 1000 cases. Am J Surg 2006;191:377–80.CrossRefPubMed
21.
go back to reference Hausel J, Nygren J, Lagerkranswer M, Hellstrom PM, Hammarqvist F, Almstrom C, Lindh A, Thorell A, Ljungqvist O. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth Analg 2001;93:1344–1350.CrossRefPubMed Hausel J, Nygren J, Lagerkranswer M, Hellstrom PM, Hammarqvist F, Almstrom C, Lindh A, Thorell A, Ljungqvist O. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth Analg 2001;93:1344–1350.CrossRefPubMed
22.
go back to reference Nygren J, Soop M, Thorell A, Efendic S, Nair KS, Ljungqvist O. Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Clin Nutr 1998;17:65–71.CrossRefPubMed Nygren J, Soop M, Thorell A, Efendic S, Nair KS, Ljungqvist O. Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Clin Nutr 1998;17:65–71.CrossRefPubMed
23.
go back to reference Crowe PJ, Dennison A, Royle GT. The effect of preoperative glucose loading on postoperative nitrogen metabolism. Br J Surg 1984;71:635–637.CrossRefPubMed Crowe PJ, Dennison A, Royle GT. The effect of preoperative glucose loading on postoperative nitrogen metabolism. Br J Surg 1984;71:635–637.CrossRefPubMed
24.
go back to reference Miedema BW, Johnson JO. Methods for decreasing postoperative gut dysmotility. Lancet Oncol 2003;4:365–372.CrossRefPubMed Miedema BW, Johnson JO. Methods for decreasing postoperative gut dysmotility. Lancet Oncol 2003;4:365–372.CrossRefPubMed
25.
go back to reference Jorgensen H, Wetterslev J, Moiniche S, Dahl JB. Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery. Cochrane Database Syst Rev 2000;4:CD001893.PubMed Jorgensen H, Wetterslev J, Moiniche S, Dahl JB. Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery. Cochrane Database Syst Rev 2000;4:CD001893.PubMed
26.
go back to reference Marret E, Remy C, Bonnet F. Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery. Br J Surg 2007;94:665–673.CrossRefPubMed Marret E, Remy C, Bonnet F. Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery. Br J Surg 2007;94:665–673.CrossRefPubMed
27.
go back to reference Nisanevich V, Felsenstein I, Almogy G, Weissman C, Einav S, Matot I. Effect of intraoperative fluid management on outcome after intraabdominal surgery. Anesthesiology 2005;103: 25–32.CrossRefPubMed Nisanevich V, Felsenstein I, Almogy G, Weissman C, Einav S, Matot I. Effect of intraoperative fluid management on outcome after intraabdominal surgery. Anesthesiology 2005;103: 25–32.CrossRefPubMed
28.
go back to reference Lobo DN, Bostock KA, Neal KR, Perkins AC, Rowlands BJ, Allison SP. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet 2002;359:1812–1818.CrossRefPubMed Lobo DN, Bostock KA, Neal KR, Perkins AC, Rowlands BJ, Allison SP. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet 2002;359:1812–1818.CrossRefPubMed
29.
go back to reference Nelson R, Tse B, Edwards S. Systematic review of prophylactic nasogastric decompression after abdominal operations. Br J Surg 2002;92:673–680.CrossRef Nelson R, Tse B, Edwards S. Systematic review of prophylactic nasogastric decompression after abdominal operations. Br J Surg 2002;92:673–680.CrossRef
30.
go back to reference Vlug MS, Wind J, Hollmann MW, Ubbink DT, Cense HA, Engel AF Gerhards MF, van Wagensveld BA, van der Zaag ES, van Geloven AA, Sprangers MA, Cuesta MA, Bemelman WA; LAFA Study group. Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study). Ann Surg 2011;254:868–875.CrossRefPubMed Vlug MS, Wind J, Hollmann MW, Ubbink DT, Cense HA, Engel AF Gerhards MF, van Wagensveld BA, van der Zaag ES, van Geloven AA, Sprangers MA, Cuesta MA, Bemelman WA; LAFA Study group. Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study). Ann Surg 2011;254:868–875.CrossRefPubMed
31.
go back to reference Basse L, Madsen JL, Kehlet H. Normal gastrointestinal transit after colonic resection using epidural analgesia, enforced oral nutrition and laxative. Br J Surg 2001;88:1498–1500.CrossRefPubMed Basse L, Madsen JL, Kehlet H. Normal gastrointestinal transit after colonic resection using epidural analgesia, enforced oral nutrition and laxative. Br J Surg 2001;88:1498–1500.CrossRefPubMed
32.
go back to reference Delaney CP, Brady K, Woconish D, Parmar SP, Champagne BJ. Towards optimizing perioperative colorectal care: outcomes for 1,000 consecutive laparoscopic colon procedures using enhanced recovery pathways. Am J Surg 2012;203:353–5.CrossRefPubMed Delaney CP, Brady K, Woconish D, Parmar SP, Champagne BJ. Towards optimizing perioperative colorectal care: outcomes for 1,000 consecutive laparoscopic colon procedures using enhanced recovery pathways. Am J Surg 2012;203:353–5.CrossRefPubMed
33.
go back to reference Delaney CP, Wolff BG, Viscusi ER, Senagore AJ, Fort JG, Du W, Techner L, Wallin B. Alvimopan, for postoperative ileus following bowel resection: a pooled analysis of phase III studies. Ann Surg 2007;245:355–363.PubMedCentralCrossRefPubMed Delaney CP, Wolff BG, Viscusi ER, Senagore AJ, Fort JG, Du W, Techner L, Wallin B. Alvimopan, for postoperative ileus following bowel resection: a pooled analysis of phase III studies. Ann Surg 2007;245:355–363.PubMedCentralCrossRefPubMed
34.
go back to reference Barletta JF, Asgeirsson T, El-Badawi KI, Senagore AJ. Introduction of alvimopan into an enhanced recovery protocol for colectomy offers benefit in open but not laparoscopic colectomy. J Laparoendosc Adv Surg Tech A 2011;21:887–91.CrossRefPubMed Barletta JF, Asgeirsson T, El-Badawi KI, Senagore AJ. Introduction of alvimopan into an enhanced recovery protocol for colectomy offers benefit in open but not laparoscopic colectomy. J Laparoendosc Adv Surg Tech A 2011;21:887–91.CrossRefPubMed
35.
go back to reference Barletta JF, Asgeirsson T, Senagore AJ. Influence of intravenous opioid dose on postoperative ileus. Ann Pharmacother 2011;45:916–23.CrossRefPubMed Barletta JF, Asgeirsson T, Senagore AJ. Influence of intravenous opioid dose on postoperative ileus. Ann Pharmacother 2011;45:916–23.CrossRefPubMed
36.
go back to reference Veenhof AA, Vlug MS, van der Pas MH, Sietses C, van der Peet, DL, de Lange-de Klerk ES, et al. Surgical stress response and postoperative immune function after laparoscopy or open surgery with fast track or standard perioperative care: a randomized trial. Ann Surg 2012;255:216–221.CrossRefPubMed Veenhof AA, Vlug MS, van der Pas MH, Sietses C, van der Peet, DL, de Lange-de Klerk ES, et al. Surgical stress response and postoperative immune function after laparoscopy or open surgery with fast track or standard perioperative care: a randomized trial. Ann Surg 2012;255:216–221.CrossRefPubMed
37.
go back to reference Uchida I, Asoh T, Shirasaka C, Tsuji H. Effect of epidural analgesia on postoperative insulin resistance as evaluated by insulin clamp technique. Br J Surg 1988; 75:557–562.CrossRefPubMed Uchida I, Asoh T, Shirasaka C, Tsuji H. Effect of epidural analgesia on postoperative insulin resistance as evaluated by insulin clamp technique. Br J Surg 1988; 75:557–562.CrossRefPubMed
38.
go back to reference Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA Jr, Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA 2003;290:2455–2463.CrossRefPubMed Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA Jr, Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA 2003;290:2455–2463.CrossRefPubMed
39.
go back to reference Werawatganon T, Charuluxanun S. Patient controlled intravenous opioid analgesia versus continuous epidural analgesia for pain after intra-abdominal surgery. Cochrane Database Syst Rev 2005;1:CD004088 .PubMed Werawatganon T, Charuluxanun S. Patient controlled intravenous opioid analgesia versus continuous epidural analgesia for pain after intra-abdominal surgery. Cochrane Database Syst Rev 2005;1:CD004088 .PubMed
40.
go back to reference Neudecker J, Schwenk W, Junghans T, Pietsch S, Bohm B, Muller JM. Randomized controlled trial to examine the influence of thoracic epidural analgesia on postoperative ileus after laparoscopic sigmoid resection. Br J Surg 1999;86:1292–1295.CrossRefPubMed Neudecker J, Schwenk W, Junghans T, Pietsch S, Bohm B, Muller JM. Randomized controlled trial to examine the influence of thoracic epidural analgesia on postoperative ileus after laparoscopic sigmoid resection. Br J Surg 1999;86:1292–1295.CrossRefPubMed
41.
go back to reference Taqi A, Hong X, Mistraletti G, Stein B, Charlebois P, Carli F. Thoracic epidural analgesia facilitates the restoration of bowel function and dietary intake in patients undergoing laparoscopic colon resection using a traditional, nonaccelerated, perioperative care program. Surg Endosc 2007;21:247–252.CrossRefPubMed Taqi A, Hong X, Mistraletti G, Stein B, Charlebois P, Carli F. Thoracic epidural analgesia facilitates the restoration of bowel function and dietary intake in patients undergoing laparoscopic colon resection using a traditional, nonaccelerated, perioperative care program. Surg Endosc 2007;21:247–252.CrossRefPubMed
42.
go back to reference Senagore AJ, Delaney CP, Mekhail N, Dugan A, Fazio VW. Randomized clinical trial comparing epidural anaesthesia and patient-controlled analgesia after laparoscopic segmental colectomy. Br J Surg 2003;90:1195–1199.CrossRefPubMed Senagore AJ, Delaney CP, Mekhail N, Dugan A, Fazio VW. Randomized clinical trial comparing epidural anaesthesia and patient-controlled analgesia after laparoscopic segmental colectomy. Br J Surg 2003;90:1195–1199.CrossRefPubMed
43.
go back to reference Zafar N, Davies R, Greenslade GL, Dixon AR. The evolution of analgesia in an ‘accelerated’ recovery programme for resectional laparoscopic colorectal surgery with anastomosis. Colorectal Dis 2010;12:119–124.CrossRefPubMed Zafar N, Davies R, Greenslade GL, Dixon AR. The evolution of analgesia in an ‘accelerated’ recovery programme for resectional laparoscopic colorectal surgery with anastomosis. Colorectal Dis 2010;12:119–124.CrossRefPubMed
44.
go back to reference Favuzza J, Delaney CP. Outcomes of discharge after elective laparoscopic colorectal surgery with transversus abdominis plane blocks and enhanced recovery pathway. J Am Coll Surg 2013;217:503–6.CrossRefPubMed Favuzza J, Delaney CP. Outcomes of discharge after elective laparoscopic colorectal surgery with transversus abdominis plane blocks and enhanced recovery pathway. J Am Coll Surg 2013;217:503–6.CrossRefPubMed
45.
go back to reference Smedley F, Bowling T, James M, Stokes E, Goodger C, O’Connor O, et al. Randomized clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care. Br J Surg 2004;91:983–990.CrossRefPubMed Smedley F, Bowling T, James M, Stokes E, Goodger C, O’Connor O, et al. Randomized clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care. Br J Surg 2004;91:983–990.CrossRefPubMed
46.
go back to reference Fearon KC, Luff R. The nutritional management of surgical patients: Enhanced recovery after surgery. Proc Nutr Soc 2003;62:807–811.CrossRefPubMed Fearon KC, Luff R. The nutritional management of surgical patients: Enhanced recovery after surgery. Proc Nutr Soc 2003;62:807–811.CrossRefPubMed
47.
go back to reference Henriksen MG, Hansen HV, Hessov I. Early oral nutrition after elective colorectal surgery: influence of balanced analgesia and enforced mobilization. Nutrition 2002;18:263–267.CrossRefPubMed Henriksen MG, Hansen HV, Hessov I. Early oral nutrition after elective colorectal surgery: influence of balanced analgesia and enforced mobilization. Nutrition 2002;18:263–267.CrossRefPubMed
48.
go back to reference Soop M, Carlson GL, Hopkinson J, Clarke S, Thorell A, Nygren J, et al. Randomized clinical trial of the effects of immediate enteral nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol. Br J Surg 2004;91:1138–1145.CrossRefPubMed Soop M, Carlson GL, Hopkinson J, Clarke S, Thorell A, Nygren J, et al. Randomized clinical trial of the effects of immediate enteral nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol. Br J Surg 2004;91:1138–1145.CrossRefPubMed
49.
go back to reference Senagore AJ, Kilbride MJ, Luchtefeld MA, MacKeigan JM, Davis AT, Moore JD. Superior nitrogen balance after laparoscopic-assisted colectomy. Ann Surg 1995;221:171–5.PubMedCentralCrossRefPubMed Senagore AJ, Kilbride MJ, Luchtefeld MA, MacKeigan JM, Davis AT, Moore JD. Superior nitrogen balance after laparoscopic-assisted colectomy. Ann Surg 1995;221:171–5.PubMedCentralCrossRefPubMed
50.
go back to reference Rondelli F, Reboldi P, Rulli A, et al. Loop ileostomy versus loop colostomy for fecal diversion after colorectal or coloanal anastomosis: a meta-analysis. Int J Colorectal Dis 2009;24:479–88.CrossRefPubMed Rondelli F, Reboldi P, Rulli A, et al. Loop ileostomy versus loop colostomy for fecal diversion after colorectal or coloanal anastomosis: a meta-analysis. Int J Colorectal Dis 2009;24:479–88.CrossRefPubMed
51.
go back to reference Tilney HS, Sains PS, Lovegrove RE, Reese GE, Heriot AG, Tekkis PP. Comparison of outcomes following ileostomy versus colostomy for defunctioning colorectal anastomoses. World J Surg 2007;31:1142–51.CrossRefPubMed Tilney HS, Sains PS, Lovegrove RE, Reese GE, Heriot AG, Tekkis PP. Comparison of outcomes following ileostomy versus colostomy for defunctioning colorectal anastomoses. World J Surg 2007;31:1142–51.CrossRefPubMed
52.
go back to reference Tan WS, Tang CL, Shi L, Eu KW. Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer. Br J Surg 2009;96:462–72.CrossRefPubMed Tan WS, Tang CL, Shi L, Eu KW. Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer. Br J Surg 2009;96:462–72.CrossRefPubMed
53.
go back to reference Huser N, Michalski CW, Erkan M, et al. Systematic review and meta-analysis of the role of defunctioning stoma in low rectal cancer surgery. Ann Surg 2008;248:52–60.CrossRefPubMed Huser N, Michalski CW, Erkan M, et al. Systematic review and meta-analysis of the role of defunctioning stoma in low rectal cancer surgery. Ann Surg 2008;248:52–60.CrossRefPubMed
54.
go back to reference Montedori A, Cirocchi R, Farinella E, Sciannameo F, Abraha I. Covering ileo- or colostomy in anterior resection for rectal carcinoma. Cochrane Database Syst Rev 2010;(5):CD006878.PubMed Montedori A, Cirocchi R, Farinella E, Sciannameo F, Abraha I. Covering ileo- or colostomy in anterior resection for rectal carcinoma. Cochrane Database Syst Rev 2010;(5):CD006878.PubMed
55.
go back to reference Nurkin S, Kakarla VR, Ruiz DE, Cance WG, Tiszenkel HI. The role of faecal diversion in low rectal cancer: a review of 1791 patients having rectal resection with anastomosis for cancer, with and without a proximal stoma. Colorectal Dis 2013;15:e309-16.CrossRefPubMed Nurkin S, Kakarla VR, Ruiz DE, Cance WG, Tiszenkel HI. The role of faecal diversion in low rectal cancer: a review of 1791 patients having rectal resection with anastomosis for cancer, with and without a proximal stoma. Colorectal Dis 2013;15:e309-16.CrossRefPubMed
56.
go back to reference Jafari MD, Halabi WJ, Jafari F, et al. Morbidity of diverting ileostomy for rectal cancer: analysis of the American College of Surgeons National Surgical Quality Improvement Program. Am Surg 2013;79:1034–9.PubMed Jafari MD, Halabi WJ, Jafari F, et al. Morbidity of diverting ileostomy for rectal cancer: analysis of the American College of Surgeons National Surgical Quality Improvement Program. Am Surg 2013;79:1034–9.PubMed
57.
go back to reference Paquette IM, Solan P, Rafferty JF, Ferguson MA, Davis BR. Readmission for dehydration or renal failure after ileostomy creation. Dis Colon Rectum 2013;56:974–9.CrossRefPubMed Paquette IM, Solan P, Rafferty JF, Ferguson MA, Davis BR. Readmission for dehydration or renal failure after ileostomy creation. Dis Colon Rectum 2013;56:974–9.CrossRefPubMed
58.
go back to reference Nagle D, Pare T, Keenan E, Marcet K, Tizio S, Poylin V. Ileostomy pathway virtually eliminates readmissions for dehydration in new ostomates. Dis Colon Rectum 2012;55:1266–72.CrossRefPubMed Nagle D, Pare T, Keenan E, Marcet K, Tizio S, Poylin V. Ileostomy pathway virtually eliminates readmissions for dehydration in new ostomates. Dis Colon Rectum 2012;55:1266–72.CrossRefPubMed
59.
go back to reference Joyce MR, Kiran RP, Remzi FH, Church J, Fazio VW. In a select group of patients meeting strict clinical criteria and undergoing ileal pouch-anal anastomosis, the omission of a diverting ileostomy offers cost savings to the hospital. Dis Colon Rectum 2010;53:905–10.CrossRefPubMed Joyce MR, Kiran RP, Remzi FH, Church J, Fazio VW. In a select group of patients meeting strict clinical criteria and undergoing ileal pouch-anal anastomosis, the omission of a diverting ileostomy offers cost savings to the hospital. Dis Colon Rectum 2010;53:905–10.CrossRefPubMed
60.
go back to reference Shogan BD, Carlisle EM, Alverdy JC, Umanskiy K. Do we really know why colorectal anastomoses leak? J Gastrointest Surg: 2013;17:1698–1707.CrossRef Shogan BD, Carlisle EM, Alverdy JC, Umanskiy K. Do we really know why colorectal anastomoses leak? J Gastrointest Surg: 2013;17:1698–1707.CrossRef
61.
go back to reference Rahbari NN, Weitz J, Hohenberger W, et al. Definition and grading of anastomotic leakage following anterior resection of the rectum: a proposal by the International Study Group of Rectal Cancer. Surgery 2010;147:339–351.CrossRefPubMed Rahbari NN, Weitz J, Hohenberger W, et al. Definition and grading of anastomotic leakage following anterior resection of the rectum: a proposal by the International Study Group of Rectal Cancer. Surgery 2010;147:339–351.CrossRefPubMed
62.
go back to reference Kingham TP, Pachter HL. Colonic anastomotic leak: risk factors, diagnosis, and treatment. J Am Coll Surg 2009;208:269–278.CrossRefPubMed Kingham TP, Pachter HL. Colonic anastomotic leak: risk factors, diagnosis, and treatment. J Am Coll Surg 2009;208:269–278.CrossRefPubMed
63.
go back to reference Pommergaard HC, Gessler B, Burcharth J, Angenete E, Haglind E, Rosenberg J. Preoperative risk factors for anastomotic leakage after resection for colorectal cancer: a systematic review and meta-analysis. Colorectal Dis 2014 Mar 22. doi:10.1111/codi.12618. Pommergaard HC, Gessler B, Burcharth J, Angenete E, Haglind E, Rosenberg J. Preoperative risk factors for anastomotic leakage after resection for colorectal cancer: a systematic review and meta-analysis. Colorectal Dis 2014 Mar 22. doi:10.​1111/​codi.​12618.
64.
go back to reference Davies AH, Bartolo DC, Richards AE, Johnson CD, Mc CMNJ. Intra-operative air testing: an audit on rectal anastomosis. Ann R Coll Surg Engl 1988;70:345–347.PubMedCentralPubMed Davies AH, Bartolo DC, Richards AE, Johnson CD, Mc CMNJ. Intra-operative air testing: an audit on rectal anastomosis. Ann R Coll Surg Engl 1988;70:345–347.PubMedCentralPubMed
65.
go back to reference Gilbert JM, Trapnell JE. Intraoperative testing of the integrity of left-sided colorectal anastomoses: a technique of value to the surgeon in training. Ann R Coll Surg Engl 1988;70:158–160.PubMedCentralPubMed Gilbert JM, Trapnell JE. Intraoperative testing of the integrity of left-sided colorectal anastomoses: a technique of value to the surgeon in training. Ann R Coll Surg Engl 1988;70:158–160.PubMedCentralPubMed
66.
go back to reference Beard JD, Nicholson ML, Sayers RD, Lloyd D, Everson NW. Intraoperative air testing of colorectal anastomoses: a prospective, randomized trial. Br J Surg 1990;77:1095–1097.CrossRefPubMed Beard JD, Nicholson ML, Sayers RD, Lloyd D, Everson NW. Intraoperative air testing of colorectal anastomoses: a prospective, randomized trial. Br J Surg 1990;77:1095–1097.CrossRefPubMed
67.
go back to reference Ricciardi R, Roberts PL, Marcello PW, Hall JF, Read TE, Schoetz DJ. Anastomotic leak testing after colorectal resection: what are the data? Arch Surg 2009;144:407–411.CrossRefPubMed Ricciardi R, Roberts PL, Marcello PW, Hall JF, Read TE, Schoetz DJ. Anastomotic leak testing after colorectal resection: what are the data? Arch Surg 2009;144:407–411.CrossRefPubMed
68.
go back to reference Hao XY, Yang KH, Guo TK, Ma B, Tian JH, Li HL. Omentoplasty in the prevention of anastomotic leakage after colorectal resection: a meta-analysis. Int J Colorectal Disease 2008;23:1159–1165.CrossRef Hao XY, Yang KH, Guo TK, Ma B, Tian JH, Li HL. Omentoplasty in the prevention of anastomotic leakage after colorectal resection: a meta-analysis. Int J Colorectal Disease 2008;23:1159–1165.CrossRef
69.
go back to reference Merad F, Hay JM, Fingerhut A, Flamant Y, Molkhou JM, Laborde Y. Omentoplasty in the prevention of anastomotic leakage after colonic or rectal resection: a prospective randomized study in 712 patients. French Associations for Surgical Research. Ann Surg 1998;227:179–186.PubMedCentralCrossRefPubMed Merad F, Hay JM, Fingerhut A, Flamant Y, Molkhou JM, Laborde Y. Omentoplasty in the prevention of anastomotic leakage after colonic or rectal resection: a prospective randomized study in 712 patients. French Associations for Surgical Research. Ann Surg 1998;227:179–186.PubMedCentralCrossRefPubMed
70.
go back to reference Vakalopoulos KA, Daams F, Wu Z, Timmermans L, Jeekel JJ, Kleinrensink GH, van der Ham A, Lange JF. Tissue adhesives in gastrointestinal anastomosis: a systematic review. J Surg Res 2013;180:290–300.CrossRefPubMed Vakalopoulos KA, Daams F, Wu Z, Timmermans L, Jeekel JJ, Kleinrensink GH, van der Ham A, Lange JF. Tissue adhesives in gastrointestinal anastomosis: a systematic review. J Surg Res 2013;180:290–300.CrossRefPubMed
71.
go back to reference Huh JW, Kim HR, Kim YJ. Anastomotic leakage after laparoscopic resection of rectal cancer: the impact of fibrin glue. Am J Surg 2010;199:435–441.CrossRefPubMed Huh JW, Kim HR, Kim YJ. Anastomotic leakage after laparoscopic resection of rectal cancer: the impact of fibrin glue. Am J Surg 2010;199:435–441.CrossRefPubMed
72.
go back to reference Li VK, Wexner SD, Pulido N, et al. Use of routine intraoperative endoscopy in elective laparoscopic colorectal surgery: can it further avoid anastomotic failure? Surg Endosc 2009;23:2459–2465.CrossRefPubMed Li VK, Wexner SD, Pulido N, et al. Use of routine intraoperative endoscopy in elective laparoscopic colorectal surgery: can it further avoid anastomotic failure? Surg Endosc 2009;23:2459–2465.CrossRefPubMed
73.
go back to reference Lieto E, Orditura M, Castellano P, et al. Endoscopic intraoperative anastomotic testing may avoid early gastrointestinal anastomotic complications. A prospective study. J Gastrointest Surg 2011;15:145–152.CrossRefPubMed Lieto E, Orditura M, Castellano P, et al. Endoscopic intraoperative anastomotic testing may avoid early gastrointestinal anastomotic complications. A prospective study. J Gastrointest Surg 2011;15:145–152.CrossRefPubMed
74.
go back to reference Ghole SA, Nguyen A, Bosio RM, et al. Validation of a colonoscopic grading system for the intraoperative evaluation of rectal anastomosis. Paper presented at: Society of American Gastrointestinal Endoscopic Surgeons 2014; Salt Lake City, UT. Ghole SA, Nguyen A, Bosio RM, et al. Validation of a colonoscopic grading system for the intraoperative evaluation of rectal anastomosis. Paper presented at: Society of American Gastrointestinal Endoscopic Surgeons 2014; Salt Lake City, UT.
75.
go back to reference Ris F, Hompes R, Lindsey I, Cunningham C, Mortensen NJ, Cahill RA. Near Infra-red (NIR) laparoscopic assessment of the adequacy of blood perfusion of intestinal anastomosis. Colorectal Dis. Feb 12 2014. doi:10.1111/codi.12593. Ris F, Hompes R, Lindsey I, Cunningham C, Mortensen NJ, Cahill RA. Near Infra-red (NIR) laparoscopic assessment of the adequacy of blood perfusion of intestinal anastomosis. Colorectal Dis. Feb 12 2014. doi:10.​1111/​codi.​12593.
76.
go back to reference Ris F, Hompes R, Cunningham C, Lindsey I, Guy R, Jones O, George B, Cahill RA, Mortensen NJ. Near-infrared (NIR) perfusion angiography in minimally invasive colorectal surgery. Surg Endosc 2014;28:2221–6.PubMedCentralCrossRefPubMed Ris F, Hompes R, Cunningham C, Lindsey I, Guy R, Jones O, George B, Cahill RA, Mortensen NJ. Near-infrared (NIR) perfusion angiography in minimally invasive colorectal surgery. Surg Endosc 2014;28:2221–6.PubMedCentralCrossRefPubMed
77.
go back to reference Jafari MD, Lee KH, Halabi WJ, et al. The use of indocyanine green fluorescence to assess anastomotic perfusion during robotic assisted laparoscopic rectal surgery. Surg Endosc 2013;27:3003–3008.CrossRefPubMed Jafari MD, Lee KH, Halabi WJ, et al. The use of indocyanine green fluorescence to assess anastomotic perfusion during robotic assisted laparoscopic rectal surgery. Surg Endosc 2013;27:3003–3008.CrossRefPubMed
79.
go back to reference Schwenk W, Haase O, Neudecker J, Müller JM. Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev. 2005 20;(3):CD003145. Schwenk W, Haase O, Neudecker J, Müller JM. Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev. 2005 20;(3):CD003145.
81.
go back to reference Aalbers AG, Doeksen A, Van Berge Henegouwen MI, Bemelman WA. Hand-assisted laparoscopic versus open approach in colorectal surgery: a systematic review. Colorectal Dis 2010;12:287–95.CrossRefPubMed Aalbers AG, Doeksen A, Van Berge Henegouwen MI, Bemelman WA. Hand-assisted laparoscopic versus open approach in colorectal surgery: a systematic review. Colorectal Dis 2010;12:287–95.CrossRefPubMed
82.
go back to reference Maggiori L, Gaujoux S, Tribillon E, Bretagnol F, Panis Y. Single-incision laparoscopy for colorectal resection: a systematic review and meta-analysis of more than a thousand procedures. Colorectal Dis 2012;14:e643-54.CrossRefPubMed Maggiori L, Gaujoux S, Tribillon E, Bretagnol F, Panis Y. Single-incision laparoscopy for colorectal resection: a systematic review and meta-analysis of more than a thousand procedures. Colorectal Dis 2012;14:e643-54.CrossRefPubMed
83.
go back to reference Liao G, Zhao Z, Lin S, Li R, Yuan Y1, Du S, Chen J, Deng H. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World J Surg Oncol. 2014 26;12:122. doi:10.1186/1477-7819-12-122. Liao G, Zhao Z, Lin S, Li R, Yuan Y1, Du S, Chen J, Deng H. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World J Surg Oncol. 2014 26;12:122. doi:10.​1186/​1477-7819-12-122.
84.
go back to reference Singh R, Omiccioli A, Hegge S, McKinley C. Does the extraction-site location in laparoscopic colorectal surgery have an impact on incisional hernia rates? Surg Endosc 2008;22:2596–600.CrossRefPubMed Singh R, Omiccioli A, Hegge S, McKinley C. Does the extraction-site location in laparoscopic colorectal surgery have an impact on incisional hernia rates? Surg Endosc 2008;22:2596–600.CrossRefPubMed
85.
go back to reference Lee L, Mappin-Kasirer B, Sender Liberman A, Stein B, Charlebois P, Vassiliou M, Fried GM, Feldman LS. High incidence of symptomatic incisional hernia after midline extraction in laparoscopic colon resection. Surg Endosc 2012;26:3180–5.CrossRefPubMed Lee L, Mappin-Kasirer B, Sender Liberman A, Stein B, Charlebois P, Vassiliou M, Fried GM, Feldman LS. High incidence of symptomatic incisional hernia after midline extraction in laparoscopic colon resection. Surg Endosc 2012;26:3180–5.CrossRefPubMed
86.
go back to reference Cirocchi R, Trastulli S, Farinella E, Guarino S, Desiderio J, Boselli C, Parisi A, Noya G, Slim K. Intracorporeal versus extracorporeal anastomosis during laparoscopic right hemicolectomy—systematic review and meta-analysis. Surg Oncol 2013;22:1–13.CrossRefPubMed Cirocchi R, Trastulli S, Farinella E, Guarino S, Desiderio J, Boselli C, Parisi A, Noya G, Slim K. Intracorporeal versus extracorporeal anastomosis during laparoscopic right hemicolectomy—systematic review and meta-analysis. Surg Oncol 2013;22:1–13.CrossRefPubMed
87.
go back to reference Diana M, Perretta S, Wall J, Costantino FA, Leroy J, Demartines N, Marescaux J. Transvaginal specimen extraction in colorectal surgery: current state of the art. Colorectal Dis 2011;13:e104-11.CrossRefPubMed Diana M, Perretta S, Wall J, Costantino FA, Leroy J, Demartines N, Marescaux J. Transvaginal specimen extraction in colorectal surgery: current state of the art. Colorectal Dis 2011;13:e104-11.CrossRefPubMed
88.
go back to reference Wolthuis AM, Van Geluwe B, Fieuws S, Penninckx F, D’Hoore A. Laparoscopic sigmoid resection with transrectal specimen extraction: a systematic review. Colorectal Dis. 2012;14:1183–8.CrossRefPubMed Wolthuis AM, Van Geluwe B, Fieuws S, Penninckx F, D’Hoore A. Laparoscopic sigmoid resection with transrectal specimen extraction: a systematic review. Colorectal Dis. 2012;14:1183–8.CrossRefPubMed
89.
go back to reference Franklin ME Jr, Liang S, Russek K. Integration of transanal specimen extraction into laparoscopic anterior resection with total mesorectal excision for rectal cancer: a consecutive series of 179 patients. Surg Endosc 2013;27:127–32.CrossRefPubMed Franklin ME Jr, Liang S, Russek K. Integration of transanal specimen extraction into laparoscopic anterior resection with total mesorectal excision for rectal cancer: a consecutive series of 179 patients. Surg Endosc 2013;27:127–32.CrossRefPubMed
90.
go back to reference Emhoff IA, Lee GC, Sylla P. Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES). Dig Endosc 2014;26 Suppl 1:29–42.CrossRefPubMed Emhoff IA, Lee GC, Sylla P. Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES). Dig Endosc 2014;26 Suppl 1:29–42.CrossRefPubMed
91.
go back to reference Champagne B, MacRae H. Teaching and Training for Laparoscopic Colorectal Resection. In: Steele SR, Maykel JA, Champagne BJ, Orangio GR, eds. Complexities in Colorectal Surgery: Decision-Making and Management: Springer Publ; 2014. Champagne B, MacRae H. Teaching and Training for Laparoscopic Colorectal Resection. In: Steele SR, Maykel JA, Champagne BJ, Orangio GR, eds. Complexities in Colorectal Surgery: Decision-Making and Management: Springer Publ; 2014.
92.
go back to reference Palter VN, Orzech N, Reznick RK, Grantcharov TP. Validation of a structured training and assessment curriculum for technical skill acquisition in minimally invasive surgery: a randomized controlled trial. Ann Surg 2013;257:224–230.CrossRefPubMed Palter VN, Orzech N, Reznick RK, Grantcharov TP. Validation of a structured training and assessment curriculum for technical skill acquisition in minimally invasive surgery: a randomized controlled trial. Ann Surg 2013;257:224–230.CrossRefPubMed
94.
go back to reference Roberts NK, Williams RG, Kim MJ, Dunnington GL. The briefing, intraoperative teaching, debriefing model for teaching in the operating room. J Am Coll Surg 2009;208:299–303.CrossRefPubMed Roberts NK, Williams RG, Kim MJ, Dunnington GL. The briefing, intraoperative teaching, debriefing model for teaching in the operating room. J Am Coll Surg 2009;208:299–303.CrossRefPubMed
95.
go back to reference Roberts NK, Brenner MJ, Williams RG, Kim MJ, Dunnington GL. Capturing the teachable moment: a grounded theory study of verbal teaching interactions in the operating room. Surgery 2012;151:643–650.CrossRefPubMed Roberts NK, Brenner MJ, Williams RG, Kim MJ, Dunnington GL. Capturing the teachable moment: a grounded theory study of verbal teaching interactions in the operating room. Surgery 2012;151:643–650.CrossRefPubMed
Metadata
Title
Improving Outcomes and Cost-Effectiveness of Colorectal Surgery
Authors
Scott R. Steele
Joshua Bleier
Brad Champagne
Imran Hassan
Andrew Russ
Anthony J. Senagore
Patricia Sylla
Alessio Pigazzi
Publication date
01-11-2014
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 11/2014
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-014-2643-9

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