Laparoscopic surgery contributes to a decrease in short-term complications in surgical ulcerative colitis patients during 2008-2017: a multicenter retrospective study in China
机构：[1]Department of Colorectal Surgery, Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.[2]Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.[3]Department of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.[4]Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, China.四川大学华西医院[5]Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.[6]Department of General Surgery, Qilu Hospital, Shandong University, Jinan, China.[7]Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.[8]Department of Colorectal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.[9]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.[10]Department of General Surgery, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.[11]Department of Geriatric Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.[12]Department of Colorectal Surgery, The First Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, China.浙江大学医学院附属第一医院[13]Department of Colorectal and Anal Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.[14]State Key Laboratory of Cancer Biology and Institute of Digestive Diseases, Xijing Hospital of Digestive Diseases, Xi'an, China.
The aim of this study was to analyze the chronological changes in postoperative complications in surgical ulcerative colitis patients over the past decade in China and to investigate the potential parameters that contributed to the changes.Ulcerative colitis patients who underwent surgery during 2008-2017 were retrospectively enrolled from 13 hospitals in China. Postoperative complications were compared among different operation years. Risk factors for complications were identified by logistic regression analysis.A total of 446 surgical ulcerative colitis patients were analyzed. Fewer short-term complications (24.8% vs. 41.0%, P=0.001) and more laparoscopic surgeries (66.4% vs. 25.0%, P<0.001) were found among patients who received surgery during 2014-2017 than 2008-2013. Logistic regression suggested that independent protective factors against short-term complications were a higher preoperative body mass index (odds ratio [OR], 0.870; 95% confidence interval [CI], 0.785-0.964; P=0.008), laparoscopic surgery (OR, 0.391; 95% CI, 0.217-0.705; P=0.002) and elective surgery (OR, 0.213; 95% CI, 0.067-0.675; P=0.009). The chronological decrease in short-term complications was associated with an increase in laparoscopic surgery.Our data revealed a downward trend of short-term postoperative complications among surgical ulcerative colitis patients in China during the past decade, which may be due to the promotion of minimally invasive techniques among Chinese surgeons.
基金：
National Natural Science Foundation (grant number 81800484), Science & Technology Planning Project of Guangdong Province (grant numbers 20160916, 2015B020229001) and National Key Clinical Discipline in general surgery.
第一作者机构：[1]Department of Colorectal Surgery, Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
共同第一作者：
通讯作者：
通讯机构：[1]Department of Colorectal Surgery, Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.[*1]Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, 26# Yuancun Erheng Road, Guangzhou 510655, China.
推荐引用方式(GB/T 7714)：
Cai Zerong,He Xiaosheng,Gong Jianfeng,et al.Laparoscopic surgery contributes to a decrease in short-term complications in surgical ulcerative colitis patients during 2008-2017: a multicenter retrospective study in China[J].INTESTINAL RESEARCH.2023,21(2):235-243.doi:10.5217/ir.2022.00012.
APA：
Cai Zerong,He Xiaosheng,Gong Jianfeng,Du Peng,Meng Wenjian...&Wu Xiaojian.(2023).Laparoscopic surgery contributes to a decrease in short-term complications in surgical ulcerative colitis patients during 2008-2017: a multicenter retrospective study in China.INTESTINAL RESEARCH,21,(2)
MLA：
Cai Zerong,et al."Laparoscopic surgery contributes to a decrease in short-term complications in surgical ulcerative colitis patients during 2008-2017: a multicenter retrospective study in China".INTESTINAL RESEARCH 21..2(2023):235-243
