International Journal of Colorectal Disease

, Volume 33, Issue 7, pp 937–945 | Cite as

Risk factors for early postoperative complications and length of hospital stay in ileocecal resection and right hemicolectomy for Crohn’s disease: a single-center experience

  • Christian Galata
  • Christel Weiss
  • Julia Hardt
  • Steffen Seyfried
  • Stefan Post
  • Peter Kienle
  • Karoline Horisberger
Original Article
  • 61 Downloads

Abstract

Purpose

To determine risk factors for early postoperative complications and longer hospital stay after ileocecal resection and right hemicolectomy in a single-center cohort of patients with Crohn’s disease (CD).

Methods

A retrospective analysis of the prospectively maintained surgical database for patients with CD at our institution was performed. All consecutive patients operated on between January 2010 and December 2016 were included.

Results

A total of 305 patients were included. Median length of hospital stay was 7 days (interquartile range, IQR 6–10). Major postoperative complications were observed in 9.5% of patients (n = 29). Anastomotic leak was observed in five patients (1.8% of all patients with anastomosis). The rate of local septic complications was 4.3% (n = 13, anastomotic leak, postoperative abscess, and/or postoperative fistula). In multivariable analysis, independent risk factors for major postoperative complications were bowel perforation (odds ratio (OR) = 12.796, 95% CI = 1.144–143.178); elevated preoperative leucocyte levels (OR = 1.115, 95% CI = 1.013–1.228); and low levels of preoperative albumin (OR = 0.885, 95% CI = 0.827–0.948). The cutoff value for albumin was 32.5 g/L (sensitivity 75.9%, specificity 62.6%).

Conclusions

In this large cohort of patients surgically treated for CD in a tertiary referral center, 9.5% of the patients developed major postoperative complications. Preoperative albumin levels > 32.5 g/L significantly reduce the risk for postoperative complications and shorten the length of hospital stay. In a multidisciplinary concept with adequate preoperative management, surgery can be performed with a low rate of major complications and a very low rate of anastomotic leakage.

Keywords

Crohn’s disease Postoperative complications Hospital stay Ileocecal resection Right hemicolectomy Anastomotic leak 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Christian Galata
    • 1
  • Christel Weiss
    • 2
  • Julia Hardt
    • 1
  • Steffen Seyfried
    • 1
  • Stefan Post
    • 1
  • Peter Kienle
    • 3
  • Karoline Horisberger
    • 4
  1. 1.Department of Surgery, University Hospital Mannheim, Medical Faculty MannheimUniversity of HeidelbergMannheimGermany
  2. 2.Department of Medical Statistics and Biomathematics, Medical Faculty MannheimUniversity of HeidelbergMannheimGermany
  3. 3.Department of SurgeryTheresienkrankenhaus MannheimMannheimGermany
  4. 4.Department of Visceral and Transplant SurgeryUniversity Hospital ZurichZurichSwitzerland

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