Ambulatory discharge after colorectal resection: How early a discharge after surgery is feasible and safe?

IF 2.9 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Colorectal Disease Pub Date : 2025-03-25 DOI:10.1111/codi.70075

Beatrix Choi, Koby Herman, James Church, Ravi Pokala Kiran

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引用次数: 0

Abstract

Aim

The feasibility and safety of ambulatory (23-h stay) surgery in patients undergoing colorectal resection has been previously demonstrated. The aim of this work was to compare outcomes of patients discharged directly from the postanaesthesia care unit at 6–8 h postsurgery to assess the feasibility of even earlier discharges.

Method

We performed a retrospective observational study of all patients undergoing intestinal resection with primary anastomosis by a single surgeon at an academic centre over a 2-year period. Patients were divided into three groups: an early discharge group (discharged 6–8 h postsurgery), an ambulatory group (discharged at 8–24 h) and an inpatient group. Primary outcomes were 30-day readmission, reoperation, complications and death. Data were analysed using Kruskall–Wallis and ANOVA tests.

Results

Over a 2-year period, 229 patients underwent resection for uncomplicated colorectal conditions. Nineteen patients (8%) were discharged within 8 h, 66 (29%) at 8–24 h and 144 (63%) at >24 h. There were no differences in 30-day readmissions, reoperations or deaths among the three groups. Those discharged at 8 h had shorter operative times and less blood loss. Admitted patients were more likely to require postoperative transfusions, but there were no differences among the groups in any other complication.

Conclusion

Using appropriate selection criteria, early discharge at 6–8 h after colectomy is safe without an increase in readmission, reoperation or mortality.

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来源期刊

Colorectal Disease 医学-胃肠肝病学

CiteScore

6.10

自引率

11.80%

发文量

406

审稿时长

1.5 months

期刊介绍： Diseases of the colon and rectum are common and offer a number of exciting challenges. Clinical, diagnostic and basic science research is expanding rapidly. There is increasing demand from purchasers of health care and patients for clinicians to keep abreast of the latest research and developments, and to translate these into routine practice. Technological advances in diagnosis, surgical technique, new pharmaceuticals, molecular genetics and other basic sciences have transformed many aspects of how these diseases are managed. Such progress will accelerate. Colorectal Disease offers a real benefit to subscribers and authors. It is first and foremost a vehicle for publishing original research relating to the demanding, rapidly expanding field of colorectal diseases. Essential for surgeons, pathologists, oncologists, gastroenterologists and health professionals caring for patients with a disease of the lower GI tract, Colorectal Disease furthers education and inter-professional development by including regular review articles and discussions of current controversies. Note that the journal does not usually accept paediatric surgical papers.