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Article

Comparison of Post-Operative Outcomes of Right Colectomy between Crohn’s Disease and Adenocarcinoma of the Right Colon: A Retrospective Cohort Study

by
Naama Bursztyn
1,2,†,
Edden Slomowitz
1,3,*,†,
Dan Assaf
1,4,
Ehab Haj Yahia
1,5,
Ilan Kent
1,4,
Nir Wasserberg
1,3,
Shmuel Avital
1,5 and
Ian White
1,3,*
1
School of Medicine, Tel Aviv University, Tel-Aviv 69978, Israel
2
Internal Medicine A, Shamir Medical Center, Be’er Ya’akov 70300, Israel
3
Colorectal Unit, Department of Surgery, Beilinson Hospital, Rabin Medical Center, Petach-Tikva 49100, Israel
4
Department of Surgery, Sheba Medical Center, Tel-Aviv 39040, Israel
5
Department Surgery B, Meir Medical Center, Kfar Saba 44281, Israel
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Clin. Med. 2024, 13(10), 2809; https://doi.org/10.3390/jcm13102809
Submission received: 5 March 2024 / Revised: 29 April 2024 / Accepted: 8 May 2024 / Published: 10 May 2024
(This article belongs to the Special Issue Laparoscopic and Surgical Treatment for Colorectal Cancer)
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Abstract

(1) Background: Crohn’s disease (CD) and right-sided colorectal-carcinoma (CRC) are two common indications for right colectomies. Many studies have tried to identify risk factors associated with post-operative complications for both CD and CRC. However, data directly comparing the outcomes of the two are sparse. This study aims to compare the 30-day post-operative outcome after a right colectomy for CD versus CRC. Its secondary aim is to identify the factors associated with these outcomes for each group. (2) Methods: A retrospective cohort study of 123 patients who underwent a right colectomy for CD or CRC in a single institution between March 2011 and March 2016. (3) Results: There were no significant differences between the groups when comparing the overall complication rate, the median Clavien–Dindo score, reoperation rates and the length of hospitalization. The leak rate was higher in the Crohn’s group (13.95% (6/43) vs. 3.75% (3/80)), p = 0.049), although the stoma rate was the same (4/43 9.5%; 7/80 9.9%). (4) Conclusions: This study has shown that post-operative complication rate is similar for right colectomy in CD and CRC. However, Crohn’s disease patients did have a higher leak rate.
Keywords: Crohn’s disease; colorectal cancer; colectomy; post-operative complications; bowel/intestinal/gastrointestinal surgery Crohn’s disease; colorectal cancer; colectomy; post-operative complications; bowel/intestinal/gastrointestinal surgery

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MDPI and ACS Style

Bursztyn, N.; Slomowitz, E.; Assaf, D.; Yahia, E.H.; Kent, I.; Wasserberg, N.; Avital, S.; White, I. Comparison of Post-Operative Outcomes of Right Colectomy between Crohn’s Disease and Adenocarcinoma of the Right Colon: A Retrospective Cohort Study. J. Clin. Med. 2024, 13, 2809. https://doi.org/10.3390/jcm13102809

AMA Style

Bursztyn N, Slomowitz E, Assaf D, Yahia EH, Kent I, Wasserberg N, Avital S, White I. Comparison of Post-Operative Outcomes of Right Colectomy between Crohn’s Disease and Adenocarcinoma of the Right Colon: A Retrospective Cohort Study. Journal of Clinical Medicine. 2024; 13(10):2809. https://doi.org/10.3390/jcm13102809

Chicago/Turabian Style

Bursztyn, Naama, Edden Slomowitz, Dan Assaf, Ehab Haj Yahia, Ilan Kent, Nir Wasserberg, Shmuel Avital, and Ian White. 2024. "Comparison of Post-Operative Outcomes of Right Colectomy between Crohn’s Disease and Adenocarcinoma of the Right Colon: A Retrospective Cohort Study" Journal of Clinical Medicine 13, no. 10: 2809. https://doi.org/10.3390/jcm13102809

APA Style

Bursztyn, N., Slomowitz, E., Assaf, D., Yahia, E. H., Kent, I., Wasserberg, N., Avital, S., & White, I. (2024). Comparison of Post-Operative Outcomes of Right Colectomy between Crohn’s Disease and Adenocarcinoma of the Right Colon: A Retrospective Cohort Study. Journal of Clinical Medicine, 13(10), 2809. https://doi.org/10.3390/jcm13102809

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