AB210. SOH26AB_0279. Colectomies in a model III hospital: outcomes and trends
General Surgery Posters I

AB210. SOH26AB_0279. Colectomies in a model III hospital: outcomes and trends

Eman Suliman, Muhammad Hadi Khan, Arshia Khattak, Bilal Ahmad Kashif, Abid Khattak, Sharjeel Paul, Hamid Mustafa

Department of General Surgery, St. Luke’s General Hospital, Kilkenny, Ireland

Background: Provision of colorectal surgery in model III hospitals continues to evolve, with increasing adoption of minimally invasive techniques. This study reports outcomes of colectomies performed in a model III hospital, St. Luke’s General Hospital, Kilkenny, focusing on postoperative ileus (POI), complications, and length of stay (LOS).

Methods: A retrospective review was conducted of 84 consecutive patients undergoing colectomy at St. Luke’s General Hospital, Kilkenny, between April 2022 and November 2025. Demographic, operative, and outcome data were collected. POI was defined as first flatus on postoperative day (POD) 3–4, and prolonged POI as ≥ POD 5. LOS was recorded in days from surgery to discharge. Complications were categorised as anastomotic leak, respiratory, wound/surgical site infection (SSI), intra-abdominal collection, cardiac, neurological, bleeding, or other medical. Categorical data were analysed using Fisher’s exact test and continuous data using Wilcoxon rank-sum testing.

Results: Of 84 patients, 71 (84.5%) underwent laparoscopic colectomy and 13 (15.5%) open procedures. POI occurred in 41 patients (48.8%) and prolonged POI in 6 (7.1%). POI occurred in 46.5% of laparoscopic vs. 61.5% of open resections, and prolonged POI in 8.5% and 0%, respectively; differences were not statistically significant. LOS was significantly increased in prolonged POI patients (median, 28 days) compared with others (P=0.002). Non-ileus complications occurred in 13 patients (15.5%), most commonly respiratory complications, wound/SSI, and anastomotic leak (2.4%), several of which were associated with prolonged LOS.

Conclusions: Colectomy can be safely delivered in a model III hospital with high laparoscopic utilisation, acceptable complication rates, and outcomes comparable to published standards. Prolonged ileus and selected complications were the principal drivers of extended LOS, highlighting areas for pathway optimisation.

Keywords: Model III hospital; colectomy; postoperative ileus (POI); complications; length of stay (LOS)

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Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-26-ab210
Cite this abstract as: Suliman E, Khan MH, Khattak A, Kashif BA, Khattak A, Paul S, Mustafa H. AB210. SOH26AB_0279. Colectomies in a model III hospital: outcomes and trends. Mesentery Peritoneum 2026;10:AB210.

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