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Colostomy reversal after oncological resections versus non-oncological resections is not associated with worse postoperative outcomes -- the results of the Polish Liquidation of Colostomy (LICO) study.

Title: Colostomy reversal after oncological resections versus non-oncological resections is not associated with worse postoperative outcomes -- the results of the Polish Liquidation of Colostomy (LICO) study.
Authors: Wysocki, Wojciech M.; Kisielewski, Michał; Dowgiałło-Gornowicz, Natalia; Krawczyk, Wiktor; Wantulok, Jakub; Serednicki, Wojciech; Wierdak, Mateusz; Oleszczuk, Ignacy; Grudzińska, Ewa; Mrowiec, Sławomir; Molasy, Bartosz; Śmigielski, Jacek; Klimczak, Tomasz; Safiejko, Kamil; Wysocki, Michał; Richter, Karolina; Sachańbiński, Tomasz; Wojewoda, Tomasz; Pisarska-Adamczyk, Magdalena
Source: Polish Journal of Surgery; 2025, Vol. 97 Issue 4, p7-11, 5p
Subject Terms: SURGICAL blood loss; PERIOPERATIVE care; MYOCARDIAL ischemia; CORONARY disease; COLOSTOMY; SURGICAL complications
Abstract: Introduction: Colostomy reversal is a common surgical procedure following oncological and non-oncological resections. Colostomy reversal is performed in 60% in of non-oncological patients, and in only 40% of patients operated on for oncological reasons. Postoperative course as a possible reason for a lower colostomy reversal rate remains a controversial issue. Aim: To compare postoperative outcomes of colostomy reversal in patients with oncological versus non-oncological indications for colostomy creation. Materials and methods: The multicenter, prospective Liquidation of Colostomy (LICO) study was conducted in 20 surgical departments in Poland between October 2022 and December 2023. Patients were divided into two groups based on colostomy indication: oncological (Group 1) and non-oncological (Group 2). Primary outcomes were the length of hospital stay (LOS), postoperative complications, and 30-day reoperation rates. Results: Among 126 patients (46 in Group 1, 80 in Group 2), Group 1 patients were older (median 67 vs. 55.5 years, p
: Copyright of Polish Journal of Surgery is the property of Fundacja Polski Przedglad Chirurgiczny and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Complementary Index