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Clinical pathway evaluation for left and sigmoid colectomy in abdominal surgery
Mattart, Laurine; Stevens, Marie; Debergh, Nicolas et al.
2018In Cianci, Pasquale (Ed.) Proctological Diseases in Surgical Practice
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Keywords :
clinical pathway; left colon; laparoscopy; open colectomy; hospital stay; colon cancer
Abstract :
[en] At the end of 2008, a new left colon clinical pathway was implemented in our hospital and set up by a multidisciplinary team, monitored by a clinical pathway coordinator. Our aim was to evaluate the quality of left and sigmoid colectomy management, to simplify the clinical pathway and to assess its impact on the patient, the medical and nursing staffs. A sample of 290 patients with benign or malignant disease requiring a laparoscopic of laparotomy left colon resection (mainly sigmoid) was included in this clinical pathway during the years 2009 to 2017. Our analysis focused particularly on the compliance with the protocol, the pain felt, the suture leak rate, the hospital stay, the re-hospitalization rate and redo surgery within 30 days. Our work leads to the conclusion that the introduction of a clinical pathway, when it is well prepared and brings together all the implicated persons with the same goal, is feasible with convincing results. These are directly beneficial to the patient and to the quality of its management.
Disciplines :
Surgery
Author, co-author :
Mattart, Laurine
Stevens, Marie
Debergh, Nicolas
Francart, David
Jehaes, Constant
Magis, David ;  Université de Liège - ULiège > Département de Psychologie > Département de Psychologie
Magotteaux, Paul
Monami, Benoit
Verdin, Vanessa
Wahlen, Christian
Weerts, Joseph
Markiewicz, Serge
Language :
English
Title :
Clinical pathway evaluation for left and sigmoid colectomy in abdominal surgery
Publication date :
2018
Main work title :
Proctological Diseases in Surgical Practice
Author, co-author :
Cianci, Pasquale
Publisher :
InTechOpen, London, United Kingdom
Peer reviewed :
Peer reviewed
Available on ORBi :
since 10 May 2018

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