Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
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The aim of this study was to evaluate factors affecting postoperative outcomes after laparoscopic total abdominal colectomy (TAC) with end ileostomy (EI) for ulcerative colitis (UC). ⋯ Preoperative clinical deterioration is associated with an adverse outcome after laparoscopic TAC for UC.
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To systematically review the published literature and describe the various techniques of bowel and mesentery retraction available for use in laparoscopic colorectal resection. ⋯ Many retraction methods are available to the surgeon varying in cost, invasiveness and complexity. Adequate retraction remains a challenge for optimal exposure and dissection during laparoscopic colorectal surgery.
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Comparative Study
Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection.
The Enhanced Recovery After Surgery (ERAS) programme is a multimodal approach to improve peri-operative care in colon surgery. The aim of this study was to report on the adherence to and outcomes of ERAS in the first years after implementation. ⋯ Strict adherence to the ERAS protocol was associated with reduced LOS and improved outcome in elective colon surgery for malignancy. These benefits were lost when protocol adherence was lower. Embedding the ERAS protocol into an organization and repetitive education are vital to sustain its beneficial effects on LOS and outcome.
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Practice Guideline
Management of the malignant colorectal polyp: ACPGBI position statement.