{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:59:43Z","timestamp":1790683183336,"version":"4.1.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Einleitung<\/jats:title>\n                    <jats:p>Im Rahmen dieser Analyse wurde die Krankenhausverweildauer (VWD) der elektiven minimalinvasiven onkologischen Kolonresektionen und der Sigmaresektionen bei Sigmadivertikulitis zwischen 2013 und 2024 aus den entsprechenden StuDoQ-Registern untersucht. Das Ziel dieser Analyse war es, Risikofaktoren f\u00fcr eine verl\u00e4ngerte VWD zu identifizieren.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodik<\/jats:title>\n                    <jats:p>Es wurden retrospektiv die Daten aus den StuDoQ-Registern \u201eKolonkarzinom\u201c und \u201eLapSigma\u201c untersucht. Notfalleingriffe, offene\/endoskopische Eingriffe und konvertierte Operationen wurden ausgeschlossen. Die gemeinsamen Variablen der beiden Register waren das Alter, das Geschlecht, der Body-Mass-Index (BMI), die American Society of Anesthesiologists(ASA)-Klasse, die OP-Dauer sowie der Zugang bei OP-Beginn. Beim Kolonkarzinom wurden zus\u00e4tzlich zum chirurgischen Eingriff die Lokalisation des Tumors, das pT-Stadium, das pN-Stadium und der M\u2011Status ausgewertet. Beim \u201eLapSigma\u201c-Register wurden die Indikation des Eingriffes und die Klassifikation  untersucht. Es wurden eine uni- und multivariate Analyse durchgef\u00fchrt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Im \u201eKolonkarzinom\u201c-Register konnten zwischen 2013 und 2024 von 52.203\u00a0Patientinnen und Patienten 17.930 in die Analyse inkludiert werden. Die mediane VWD lag bei 8\u00a0Tagen (IQR 6\u201311). Es zeigte sich in der multivariaten Analyse, dass insbesondere  die ASA-Klasse (Odds Ratio 1,44, CI95% [1,37\u20131,52],\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0,001) und der M\u2011Status (Odds Ratio 1,24, CI95% [1,24\u20131,34],\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0,001) Risikofaktoren f\u00fcr eine VWD \u00fcber 8\u00a0Tagen waren. Zwischen 2013 und 2024 wurden im \u201eLapSigma\u201c-Register 33.669\u00a0Patientinnen und Patienten erfasst, von denen 26.324\u00a0Patientinnen und Patienten in die Analyse eingeschlossen werden konnten. Die mediane VWD lag bei 7\u00a0Tagen (IQR 6\u20138). In der multivariaten Analyse zeigte sich, dass vor allem die ASA-Klasse (Odds Ratio 1,35, CI95% [1,29\u20131,42],\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0,001) und die Indikation der Operation (Odds Ratio 1,62, CI95% [1,53\u20131,73],\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0,001) einen signifikanten Einfluss auf die VWD hatten.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Im Rahmen der Analyse zeigte eine Vielzahl der untersuchten Variablen bei einer sehr hohen Fallzahl einen signifikanten Effekt auf. Bei n\u00e4herer Betrachtung sind  bei laparoskopischen Sigmaresektionen im Rahmen einer Sigmadivertikulitis eine h\u00f6here ASA-Klasse und Indikation der Operation (fr\u00fchelektiv und elektiv bei Blutung) f\u00fcr eine verl\u00e4ngerte VWD ausschlaggebend. Bei den onkologischen Resektionen zeigten sich  eine h\u00f6here ASA-Klasse und ein positiver M\u2011Status als signifikanter Risikofaktor f\u00fcr eine verl\u00e4ngerte VWD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00104-026-02510-4","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T14:25:33Z","timestamp":1779805533000},"page":"756-764","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risikofaktoren f\u00fcr einen verl\u00e4ngerten Krankenhausaufenthalt nach elektiver minimalinvasiver Kolonchirurgie in Deutschland\u00a0\u2013 Datenanalyse der StuDoQ-Register","Risk factors for an extended hospital stay after elective minimally invasive colonic surgery in Germany\u2014Data analysis of the StuDoQ register"],"prefix":"10.1007","volume":"97","author":[{"given":"M.","family":"Kaufmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hetjens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Klinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Rei\u00dffelder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Hardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"issue":"3","key":"2510_CR1","first-page":"233","volume":"73","author":"RL Siegel","year":"2023","unstructured":"Siegel RL et\u00a0al (2023) Colorectal cancer statistics, 2023. 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