[Clinical pathway evaluation for left colectomy in abdominal surgery]

Area of Science:

• Colorectal Surgery
• Clinical Pathway Implementation
• Surgical Quality Improvement

Context:

• A clinical pathway for left colectomy was introduced at Clinique Saint-Joseph in 2008.
• The study included 213 patients undergoing laparoscopic left colon resection between 2009 and 2015.

Purpose:

• To assess compliance with the left colectomy clinical pathway.
• To evaluate the impact on complication rates and 30-day re-hospitalization.
• To analyze changes in hospital stay duration.

Summary:

• Excellent compliance (over 80%) with the clinical pathway was observed from 2009 to 2015.
• A decrease in complication rates was noted, with no significant difference in re-hospitalization rates compared to historical controls.
• Average hospital stay significantly reduced from 8 to 4 days.

Impact:

• Clinical pathway implementation positively impacts patient management and surgical outcomes.
• Well-prepared pathways foster collaboration and improve the quality of surgical care.
• Reduced hospital stays indicate increased efficiency in patient recovery post-left colectomy.