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How often do patients return to the operating room after colorectal resections?
R Ricciardi1, P L Roberts, T E Read
1Department of Colorectal Surgery, Lahey Clinic, Burlington, MA, USA. rocco.ricciardi@lahey.org
Summary
Re-operation after colorectal surgery is common, affecting 7.6% of patients and linked to increased mortality. Identifying risk factors like hernia or colostomy complications is crucial for reducing re-operation rates in colorectal surgery.
Area of Science:
- Colorectal Surgery
- Surgical Quality Improvement
- Patient Outcomes
Background:
- Re-operation after colorectal surgery can lead to adverse patient outcomes.
- Understanding the incidence and risk factors for re-operation is essential for improving surgical care.
Purpose of the Study:
- To determine the rate of re-operation following colorectal surgery.
- To identify risk factors associated with re-operation after colorectal procedures.
Main Methods:
- Retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program database.
- Inclusion of patients undergoing colorectal resection between January 2005 and December 2008.
- Analysis of return to operating room rates and associated risk factors.
Main Results:
- A total of 54,237 patients underwent colorectal operations.
- The re-operation rate was 7.6% for colorectal resections, significantly higher than non-colorectal procedures (5.4%).
- Postoperative abdominal cavity hernia or colostomy complications were associated with the highest odds of 30-day re-operation. Patients requiring re-operation experienced longer hospital stays and higher mortality.
Conclusions:
- Re-operation is a frequent event after colorectal resections, carrying a substantial mortality risk.
- Strategies to minimize re-operation necessity are warranted due to the association with poor patient outcomes.
- Further research into preventative measures for complications leading to re-operation is recommended.
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