Ileocecectomy as an Acceptable Alternative to Right Hemicolectomy in Trauma: A Propensity Score Matched TQIP Analysis.

IF 1 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2025-03-01 DOI:10.1177/00031348251323699

Devanshi D Patel, Andrew M Fleming, Andrew J Kerwin, Cory Evans, Emily K Lenart, Dina M Filiberto, Saskya Byerly

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引用次数: 0

Abstract

Background: Ileocecectomy (IC) as an alternative to right hemicolectomy (RH) for traumatic indication is controversial with limited comparison data. We sought to compare IC vs RH for traumatic injury and hypothesized there was no difference in outcomes.

Methods: The Trauma Quality Improvement Program database was queried from 2017 to 2022 with IC and RH patients evaluated using propensity score matching (PSM) in a 1:3 ratio. Presenting factors and outcomes were analyzed.

Results: After PSM, 558 RH and 186 IC patients had no difference in age, penetrating mechanism, time to OR and injury severity score. RH patients were more likely to have unplanned ICU admission (8.6% vs 3.8%, P = 0.03) and organ space infection (7.5% vs 3.2%, P = 0.04) but similar rates of acute kidney injury (P = 0.5), unplanned OR (P > 0.9) and mortality (P = 0.08) compared to IC patients.

Conclusions: Traumatic colon injury managed by ileocecectomy had similar outcomes compared to right hemicolectomy and should be considered an acceptable alternative when anatomically feasible.

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来源期刊

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.