Prophylactic Ureteral Catheters for Colectomy: A National Surgical Quality Improvement Program-Based Analysis

Coakley, Kathleen M.; Kasten, Kevin R.; Sims, Stephanie M.; Prasad, Tanushree; Heniford, B. Todd; Davis, Bradley R.

doi:10.1097/dcr.0000000000000976

Cited by 53 publications

(31 citation statements)

References 21 publications

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“…28,29 According to recent literature, left ureteral stent are used in 4.9% patients submitted to colorectal resections, and the rate is constantly increasing. 30 Nevertheless, data are controversial and a recent systematic review concluded that there is insufficient evidence to conclude that stents decrease ureteric injury or increase intraoperative ureteric detection. 31 Our ureteric stent placement rate is lower (2.5%) when compared to the available literature (up to 16% for diverticular disease), 32 The limitations of this study are its retrospective design, the absence of a comparative group, and the relatively small sample size.…”

Section: Discussionmentioning

confidence: 99%

Robotic elective colectomy for diverticular disease: short‐term outcomes of 80 patients

Formisano

Giuliani

Salaj

et al. 2020

Robotics Computer Surgery

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Background This study aimed to evaluate the impact of the robotic approach on the minimally invasive elective treatment of diverticular disease. Methods Data from patients who underwent elective robotic colectomy for diverticular disease from January 2015 to February 2020 were prospectively collected and retrospectively analysed. Intraoperative and 30‐day postoperative outcomes were the variables assessed. Results A total of 80 patients (71% with prior complicated diverticulitis) met the inclusion criteria. Mean operative time was 241 min, one intraoperative complication (1.2%) was observed, the conversion rate was 2.5%. Mean hospital stay was 6.4 days and overall 30‐day complication rate was 22.5%. Fourteen patients (17.5%) had minor complications, while major postoperative complications occurred in four patients (5%). Anastomotic leak rate was 3.9% and the 30‐day readmission rate was 3.7%. Conclusions Robotic colectomy for diverticular disease has proven to be feasible and safe, with low intraoperative complications, conversion, and anastomotic leak rates.

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Section: Discussionmentioning

confidence: 99%

Robotic elective colectomy for diverticular disease: short‐term outcomes of 80 patients

Formisano

Giuliani

Salaj

et al. 2020

Robotics Computer Surgery

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“…The pros and cons of this endoscopic intervention should be discussed with the patients. When the ureter has not been damaged during the surgery, these stents can be immediately removed or left overnight [33][34][35].…”

Section: Non-urological Procedures Involving Ureteral Dissectionmentioning

confidence: 99%

Indications, Complications and Side Effects of Ureteral Stents

2022

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Ureteral stents are one of the most frequently used tools in urology. These medical devices have a multitude of both prophylactic and therapeutic indications. Among the first ones, the use of stents related to the treatment of ureteral or renal stones, in renal transplant surgery and in reconstructive surgery of the upper urinary tract by endourological, laparoscopic, robotic or conventional surgical approach. Therapeutic indications are related to urinary tract decompression in obstructive uropathy and as in the conservative treatment of upper urinary tract trauma.Although it has clear benefits, unfortunately it is not free of side effects. Complications associated with ureteral stents can be classified as intraoperative, early complications if they appear between 2 and 4 weeks after stenting, and late complications, depending on the time of onset of side effects. The most common side effects are the development of vesicoureteral reflux, LUTS and stent discomfort. The complications with the highest rate of incidence are asymptomatic bacteriuria and urinary tract infection. There are also common events related to ureteral stent dislodgement and crystallization of the stent surface resulting in encrustation.

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“…Available evidence suggests that routine ureteral stenting in surgery for diverticular disease is associated with a longer operative time, longer length of stay, and higher costs [158][159][160]. Analysis of the protective impact of ureteral stents against ureteral injury in the literature is always confounded by selection bias, as higher-risk patients are more likely to receive stents.…”

Section: Ureteral Stentsmentioning

confidence: 99%

Colonic Diverticular Disease

Hall

Bemelman²

2021

The ASCRS Textbook of Colon and Rectal Surgery

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Our understanding of the pathophysiology of diverticular disease is evolving.• Many behavioral and environmental factors may influence the development of diverticular disease. • Some patients with early uncomplicated diverticulitis can be treated without antibiotics. • The decision to perform elective surgery after several episodes of recurrent uncomplicated diverticulitis should be individualized. • The decision to perform elective surgery after successful non-operative management of a diverticular abscess should be individualized. • Laparoscopic lavage can be employed in some patients with Hinchey III diverticulitis. • Minimally invasive surgery is an acceptable option for managing diverticulitis and its complications.

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Prophylactic Ureteral Catheters for Colectomy: A National Surgical Quality Improvement Program-Based Analysis

Cited by 53 publications

References 21 publications

Robotic elective colectomy for diverticular disease: short‐term outcomes of 80 patients

Robotic elective colectomy for diverticular disease: short‐term outcomes of 80 patients

Indications, Complications and Side Effects of Ureteral Stents

Colonic Diverticular Disease

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