Open Right Hemicolectomy Is a Safe and Suitable Procedure for Surgical Training: A Comparative Study With 133 Patients

Hirche, Zarah; Zabaka, K.; Hirche, Christoph; Xiong, Lingyun; Willis, S.

doi:10.1177/1457496917731191

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…There are well-recognized risk factors for postoperative complications, some of which are patient-related and unmodifiable (i.e., age, pre-existing comorbidities). Moreover, surgical complications have been associated with inadequate antisepsis, defects in the surgical technique and/or an insufficient learning curve for the specific colorectal procedure [8,[14][15][16][17]. However, the occurrence of postoperative complications is not completely understood for all patients, as they occur even in patients with few risk factors [8,18].…”

Section: Introductionmentioning

confidence: 99%

The gut microbiota and colorectal surgery outcomes: facts or hype? A narrative review

et al. 2021

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Background The gut microbiota (GM) has been proposed as one of the main determinants of colorectal surgery complications and theorized as the “missing factor” that could explain still poorly understood complications. Herein, we investigate this theory and report the current evidence on the role of the GM in colorectal surgery. Methods We first present the findings associating the role of the GM with the physiological response to surgery. Second, the change in GM composition during and after surgery and its association with colorectal surgery complications (ileus, adhesions, surgical-site infections, anastomotic leak, and diversion colitis) are reviewed. Finally, we present the findings linking GM science to the application of the enhanced recovery after surgery (ERAS) protocol, for the use of oral antibiotics with mechanical bowel preparation and for the administration of probiotics/synbiotics. Results According to preclinical and translational evidence, the GM is capable of influencing colorectal surgery outcomes. Clinical evidence supports the application of an ERAS protocol and the preoperative administration of multistrain probiotics/synbiotics. GM manipulation with oral antibiotics with mechanical bowel preparation still has uncertain benefits in right-sided colic resection but is very promising for left-sided colic resection. Conclusions The GM may be a determinant of colorectal surgery outcomes. There is an emerging need to implement translational research on the topic. Future clinical studies should clarify the composition of preoperative and postoperative GM and the impact of the GM on different colorectal surgery complications and should assess the validity of GM-targeted measures in effectively reducing complications for all colorectal surgery locations.

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Section: Introductionmentioning

confidence: 99%

The gut microbiota and colorectal surgery outcomes: facts or hype? A narrative review

et al. 2021

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Rate of anastomotic leak following right hemicolectomy by general surgical trainees

Prabhakaran

Chakraborty

et al. 2020

Int J Colorectal Dis

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Open Right Hemicolectomy Is a Safe and Suitable Procedure for Surgical Training: A Comparative Study With 133 Patients

Abstract: Oncological open right hemicolectomy is a safe and suitable training procedure for residency training under standardized conditions.

Cited by 2 publications

References 19 publications

The gut microbiota and colorectal surgery outcomes: facts or hype? A narrative review

The gut microbiota and colorectal surgery outcomes: facts or hype? A narrative review

Rate of anastomotic leak following right hemicolectomy by general surgical trainees

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