Left Elective Colectomy, Renal Transplanted Patients
Conditions
Keywords
Benign or malign pathology, Renal transplanted patients, Anastomotic leakage
Brief summary
Aim of the study : To evaluate postoperative outcomes of elective left-sided colectomy in a renal transplanted population. Methods : From 2010 to 2015, all consecutive patients who underwent left elective colectomy in a referral center were prospectively collected. Considering our exclusion criterial, data from 120 patients were analyzed. The cohort was separated into 2 groups : renal transplanted patients (KTR-group) and non-renal transplanted patients (C-group) Short and longterm outcomes were compared between the two groups. Primary outcome : 90 days postoperative anastomotic leak rate
Detailed description
From January 2010 to December 2015, data from patients requiring an elective left colectomy for benign or malignant indication were collected prospectively in our colorectal surgery database. According to our exclusion criterial patients were retrospectively divided into two groups: kidney transplant recipients (KTR-group) and control group (C-group). The surgical indication for an oncologic left colectomy was retained by the expert surgeon, after a multidisciplinary conversation meeting comprising at least one surgeon, one gastroenterologist, one nephrologist, one radiologist and one oncologist. The surgical indication for diverticular disease was based on French guidelines. Demographic, clinical, intraoperative and postoperative, histological, length of hospital stay and mortality data were collected over a 90-day period following the intervention.
Interventions
Open or laparoscopic left elective colectomy with colo-rectal anastomosis
Sponsors
Study design
Eligibility
Inclusion criteria
* Open or laparoscopic left elective colectomy with colo-rectal anastomosis * age \> 18 y.o.
Exclusion criteria
* emergency surgery * past history of rectal surgery * ASA I
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Anastomotic leak after left elective colectomy | 90 days postoperative | Anastomotic leak according to the International Study Group of Rectal Cancer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Long term outcomes | 1 day | Status at the date of latest news |
Countries
France