Title : Open versus laparoscopic colectomy in management of severe ischemic colitis using a propensity score matched in comparison
Abstract:
Ischemic colitis is rarely treated by laparoscopy. The point of this review using of propensity score matched study to compare preoperative with intraoperative character and short-term outcome for severe and urgent cases of ischemic colitis.
Methods techniques: Review survey by retrospective study of 48 patients who undergoing colectomy for urgent ischemic colitis between March 2013 and October 2022 (18 by mean of laparoscopy, 30 by means of laparotomy) performed. After examination we compared short term outcomes after using a one to one ratio and nearest neighbour propensity score matching to obtain similar preoperative and intra-operative parameters in each group.
Results: From March 2013 to December 2022, 48 patients went through new colectomy for IC, 18 by means of laparoscopy, 30 through laparotomy. Before penchant score coordinating, genuinely critical higher contrast before affinity score matching among laparoscopy and open strategy in higher APACHE II score (10 versus 7, p<0.001) for the open gathering contrasted with the laparoscopic bunch, separately additionally higher in ASA (ASA 4: 63% vs. 38.8%, p=0.024) likewise. All patients were Favier II or III: There were more patients in the open group who were Favier III (73.3% vs. half, p=0.014) and had all out colonic ischemia (20% vs. 5.5%, p=0.004) (open vs. laparoscopic). There was no measurably massive contrast in CCI (open versus laparoscopic: 1 vs. 2, p=0.772). There was no measurably massive contrast in the extent of patients with entrail condition (open vs. laparoscopic: 43.3% vs. 40%, p=0.656). After penchant score coordinating, the factors were not generally measurably fundamentally divergent in the two (open and laparoscopic) gatherings of 15 patients each.
Conclusion: Laparoscopic should be prepared in rising condition, for example, urgent colectomy after early symptoms IC as it is attainable and protected, less postoperative careful site complication and less medical clinic stay and ventilation support time whenever contrasted with open laparotomy. The significant complication that leads to death rates in view of the seriousness of illness and patient status, however the benefits of laparoscopic colectomy is decrease of for patients mobility and mortality but yet need additionally considered and more randomized cases for studies.
