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- Title
Post-operative Outcomes of Intra-operative Restrictive and Conventional Fluid Management in Laparoscopic Colorectal Surgery.
- Authors
Öngel, Elif Erdoğan; Coşkun, Nilüfer; Meriç, Ayşe Hilal; Göksoy, Beslen; Bakan, Nurten
- Abstract
Objective: Intra-operative fluid management have been shown to significantly alter the patient’s clinic in peri-operative care. Studies in the literature, which investigated the effects of different amounts of intra-operative fluids on outcome, reported conflicting results. The main objective was to compare the post-operative results of intra-operative restrictive (≤4 mL/kg/h) and conventional (>4 mL/kg/h) fluid resuscitations in laparoscopic colorectal surgery. Materials and Methods: It was a retrospective study, and all patients were operated by the same fellow trained colorectal surgeon with different anesthesiologists between 1 January 2018 and 30 November 2021. Main outcome measures were post-operative hospital length of stay, intensive care unit admission and intensive care unit length of stay. Results: In total 78 patients were analyzed, 28 patients were in Group R (≤4 mL/kg/h), and 50 patients were in Group C (>4 mL/kg/h). Of all patients, medyan (IQR 25 to 75) age was 63 (51 to 70) and 74% were male. Median (IQR 25 to 75) intra-operative total fluid administration was significantly different between groups; 2 (2 to 2.6) l in Group R, and 3 (2.5 to 4) l in Group C (p<0.001). Six patients (21%) in Group R and 23 patients (46%) in Group C had post-operative intensive care unit admission (p<0.05). Group C had 1.5 days more hospital length of stay than Group R (7.9 vs. 6.4 days) (p=0.005). Conclusion: There was a significant association between intra-operative fluid management with post-operative hospital length of stay and intensive care unit admission. Excess intra-operative fluid management should be avoided in daily practice to improve the outcomes of laparoscopic colorectal surgery. Therefore, more studies are needed to establish the optimal fluid administration during laparoscopic colorectal surgeries.
- Subjects
PROCTOLOGY; LAPAROSCOPIC surgery; LENGTH of stay in hospitals; INTENSIVE care units; PERIOPERATIVE care; ONCOLOGIC surgery
- Publication
Turkish Journal of Intensive Care, 2022, Vol 20, p27
- ISSN
2146-6416
- Publication type
Article