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. 2008 Apr-Jun;12(2):143-9.

Hospital stay and return to full activity following laparoscopic colorectal surgery

Thomas M Raymond  1 , Jamasp K Dastur, Umesh P Khot, Mike C Parker
Affiliations

Hospital stay and return to full activity following laparoscopic colorectal surgery

Thomas M Raymond et al. JSLS. 2008 Apr-Jun.

Abstract

Background: The short-term benefits of laparoscopic surgery are well established, particularly within an enhanced recovery program. Early return to activity is to be expected but has not been quantified. The aim of this study was to measure the hospital stay and return to full activity following laparoscopic colorectal surgery and compare this with laparoscopic cholecystectomy and laparoscopic inguinal hernia repair.

Methods: All totally laparoscopic gallbladder, inguinal hernia, and colorectal operations performed between January 2003 and October 2006 were included. Outcomes were collected from a prospective database and case notes. Post discharge information was collected by telephone interview. A comparison was made by creating 4 groups: laparoscopic cholecystectomy, laparoscopic inguinal hernia repair (Transabdominal PrePeritoneal [TAPP]), laparoscopic colorectal nonresectional, and resectional surgery.

Results: The median hospital stay following laparoscopic colorectal resection was 7 days, while in the cholecystectomy and hernia group it was 1 day. The median return to full activity after discharge from the hospital was 4, 5, 3, and 7 days in the laparoscopic cholecystectomy, inguinal hernia repair, nonresection, and colorectal resection groups, respectively.

Conclusions: Following laparoscopic colorectal surgery, patients can be expected to return to their usual activities within a week after discharge from the hospital and less than 2 weeks from surgery.

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Figures

Figure 1.
Figure 1.
Case distribution of colorectal procedures (N=199).
Figure 2.
Figure 2.
Box and whisker plot of hospital stay (days) by type of procedure. min -[lower quartile - median - upper quartile]- max.
Figure 3.
Figure 3.
Box and whisker plot of the median length of hospital stay following laparoscopic colorectal resection before and after implementation of enhanced recovery program. min -[lower quartile - median - upper quartile]- max.
Figure 4.
Figure 4.
Box and whisker plot of the return to full activity following discharge by group (Days). min -[lower quartile - median - upper quartile]- max.
Figure 5.
Figure 5.
Box and whisker plot of the return to full activity (days) by operation. min -[lower quartile - median - upper quartile]- max.
Figure 6.
Figure 6.
Box and whisker plot of the return to full activity (days) – colorectal subgroup analysis. min -[lower quartile - median - upper quartile]- max.
Figure 7.
Figure 7.
Length of hospital stay - comparison with National Audit figures for the United Kingdom.
See this image and copyright information in PMC

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