Mohamed E Eraki*, Hassan A Saad, Huda Said Md, Said Negm, Mohamed Abozaid, Ahmed M Yehia, Ibrahim H Awad, Hassan Ashour
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 Mars 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 neighbor propensity score matching to obtain similar preoperative and intra-operative parameters in each group.
Results: From January 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.