{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:35:02Z","timestamp":1791383702186,"version":"4.3.3"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T00:00:00Z","timestamp":1547769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Soci\u00e9t\u00e9 Acad\u00e9mique Vaudoise"},{"name":"SICPA Foundation"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The present study aimed to compare functional recovery and surgical outcomes after left and right colectomies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Consecutive elective left and right colon resections for benign and malignant indications, performed between 2011 and 2016 and recorded in a prospectively maintained enhanced recovery database, were analysed. Demographic and surgical items, as well as functional recovery and 30\u2010day complications, were compared between left\u2010sided and right\u2010sided colectomies. Multivariable analysis was performed to identify risk factors for postoperative ileus (<jats:styled-content style=\"fixed-case\">POI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 1001 left and 1041 right colectomies were comparable regarding demographic factors; only body mass index (<jats:styled-content style=\"fixed-case\">BMI)<\/jats:styled-content> was higher in patients undergoing left\u2010sided resections (&gt;\u00a030\u00a0kg\/m<jats:sup>2<\/jats:sup>: 33% <jats:italic>vs<\/jats:italic> 27%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.004). Malignancy (29% <jats:italic>vs<\/jats:italic> 67%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and Crohn's disease (1% <jats:italic>vs<\/jats:italic> 31%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) were preponderant in right colectomies, whereas diverticular disease (68% <jats:italic>vs<\/jats:italic> 1%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) was the most common indication for left colectomy. Compliance with the enhanced recovery pathway (<jats:styled-content style=\"fixed-case\">ERP<\/jats:styled-content>) was comparable. While the minimally invasive approach was the preferred approach for both sides (61% <jats:italic>vs<\/jats:italic> 64%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.158), left colectomies took longer (180\u00a0\u00b1\u00a080\u00a0min <jats:italic>vs<\/jats:italic> 150\u00a0\u00b1\u00a070\u00a0min, <jats:italic>P<\/jats:italic>\u00a0&lt; 0.001), needed more perioperative fluids (3.1\u00a0\u00b1\u00a01.4\u00a0l <jats:italic>vs<\/jats:italic> 2.7\u00a0\u00b1\u00a01.5\u00a0l, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and resulted in greater postoperative weight gain (3.9\u00a0\u00b1\u00a06.5\u00a0kg <jats:italic>vs<\/jats:italic> 2.6\u00a0\u00b1\u00a06\u00a0kg, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.025). Crohn's disease (<jats:styled-content style=\"fixed-case\">OR\u00a0=\u00a0<\/jats:styled-content>2.64, 95% <jats:styled-content style=\"fixed-case\">CI:<\/jats:styled-content> 1.27\u20135.46) and fluid overload (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.02, 95% <jats:styled-content style=\"fixed-case\">CI:<\/jats:styled-content> 1.06\u20133.82) were independent risk factors for <jats:styled-content style=\"fixed-case\">POI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite equal <jats:styled-content style=\"fixed-case\">ERP<\/jats:styled-content> compliance, postoperative ileus was higher after right\u2010sided colectomies. This finding was associated with Crohn's disease and fluid overload.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14543","type":"journal-article","created":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T13:28:56Z","timestamp":1545830936000},"page":"481-486","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Comparison of recovery and outcome after left and right colectomy"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9884-2879","authenticated-orcid":false,"given":"F.","family":"Grass","sequence":"first","affiliation":[{"name":"Division of Colon and Rectal Surgery Mayo Clinic Rochester MN USA"},{"name":"Department of Visceral Surgery Lausanne University Hospital CHUV Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. K.","family":"Lovely","sequence":"additional","affiliation":[{"name":"Hospital Pharmacy Services Mayo Clinic Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Crippa","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Mayo Clinic Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Ansell","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Mayo Clinic Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"H\u00fcbner","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery Lausanne University Hospital CHUV Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. L.","family":"Mathis","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Mayo Clinic Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. W.","family":"Larson","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Mayo Clinic Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.3838"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.8.762"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-017-2776-x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13823"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3563-5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9534"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7692"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.12.021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-1909-3"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.02.011"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13741-016-0049-9"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14465"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(91)90157-8"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13949"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2016.12.031"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.21925"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200207000-00010"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9491-2"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318268a693"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001102"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000550"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjy062"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izy222"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13889"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001029"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.02.053"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.14543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.14543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.14543","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.14543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T23:51:41Z","timestamp":1694389901000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.14543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,18]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/codi.14543"],"URL":"https:\/\/doi.org\/10.1111\/codi.14543","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,18]]},"assertion":[{"value":"2018-11-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}