Overview
Large intestine injuries encompass a range of conditions requiring surgical intervention, often in an acute setting. Emergency colorectal pathology accounts for a significant proportion of major emergency abdominal gastrointestinal surgeries annually 1.Diagnosis
No diagnostic criteria or grading systems are described in the provided abstracts.Management
Laparoscopic surgery may be considered for acute colorectal pathology 1.
The conversion rate from laparoscopic to open surgery in the acute setting was 39% in one feasibility trial 1.
The 30-day postoperative complication rate in a feasibility trial was 27% for laparoscopic surgery and 42% for open surgery 1.Special Populations
No specific information is provided for special populations.Key Recommendations
Laparoscopic emergency colorectal surgery may have an acceptable safety profile 1. (Evidence: Moderate)
Consider laparoscopic approaches for acute colorectal pathology, acknowledging a potential conversion rate to open surgery 1. (Evidence: Moderate)References
1 Harji DP, Marshall H, Gordon K, Twiddy M, Pullan A, Meads D et al.. Laparoscopic versus open colorectal surgery in the acute setting (LaCeS trial): a multicentre randomized feasibility trial. The British journal of surgery 2020. link