Key PointsQuestionDo patients who fulfill 5 criteria 2 or 3 days after laparoscopic colorectal surgery (a C-reactive protein level <150 mg/dL on the day of discharge, a return of bowel function, tolerance of a diet, pain less than 5 of 10 on a visual analog scale, and being afebrile during the entire stay) have a lower risk of developing an anastomotic leak and can therefore be discharged early? FindingsThis cohort study included 287 adults. Two of 15 anastomotic leaks occurred in patients that fulfilled the criteria vs 13 of 15 in patients who did not, a significant difference. MeaningThese 5 criteria could determine who is eligible for early discharge after laparoscopic colorectal surgery.
JAMA Surgery – American Medical Association
Published: Jan 3, 2022