To evaluate the feasibility and safety of laparoscopic colectomy and anterior resection for patients with colon/upper rectal cancer (CuRC) in day surgery center. Patients with colon or upper rectal cancer who meet the standards of day surgery will be enrolled, and laparoscopic radical resection of tumor will be performed in day surgery center. Perioperative outcomes of these patients and reasons for transferring to inpatient ward will be recorded prospectively.
At present, with the development of laparoscopic surgery and the application of rapid rehabilitation, colorectal surgery has made great progress . At the same time, the application of evidence-based surgery and multimodal anesthesia in postoperative rehabilitation has accelerated the postoperative recovery. Moreover, several previous studies have shown that the implementation of ambulatory colorectal surgery can reduce the incidence of postoperative complications and shorten hospital stay. With the continuous development of rehabilitation surgery, the hospitalization time of colorectal surgery has been gradually shortened. In addition, studies had preliminarily proved the feasibility, safety and repeatability of outpatient colectomy and showed that 30% of patients with elective colectomy can be completed in outpatient department. Therefore, the investigators designed the clinical pathway of day surgery for patients screened by outpatient department, so that these patients can complete laparoscopic radical resection of colon cancer or high rectal cancer in the day surgery center. The aim of this study is to evaluate the feasibility and safety of day surgery center for patients with colon/upper rectal cancer (CuRC). Patients meet the inclusion criteria and exclusion criteria will be assigned to day surgery center to perform radically laparoscopic colectomy or anterior resection. Outcomes of interests including incidence of transfer to inpatient ward, readmission, perioperative adverse events will be recorded prospectively.
Study Type
OBSERVATIONAL
Enrollment
120
Patients with CuRC who meet the standards will be assigned to day surgery center for surgery
Guoxue Road 37#,West China Hospital
Chengdu, Sichuan, China
Incidence of transfer to inpatient ward
The incidence of patients who did not transfer to community hospital according to the plan after operation, and the causes of this situation.
Time frame: one month after operation
operation duration time
From the beginning of the skin incision to the end of the last incision was From the beginning of the skin incision to the end of the suture of last incision
Time frame: during the operation
Blood loss
intraoperative blood loss
Time frame: during the operation
Postoperative complications
including incision infection，anastomotic leakage，respiratory infection, postoperative bleeding, and so on.
Time frame: 3 months after the surgery
Length of Hospital stay (LOS)
Time from admission to discharge
Time frame: 3 months after admission
Costs of hospital expense
Expense for disease treatment during hospitalization
Time frame: 3 months after admission
Readmission rate
The proportion of patients who are re-hospitalized for postoperative adverse events within 90 days after discharge in all subjects.
Time frame: 90 days after surgery
Mortality
Death rate within 90 days after surgery in all patients after operation
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Time frame: 90 days after surgery