AB213. SOH26AB_0397. Perioperative factors influencing length of stay in patients following rectal cancer resection
General Surgery Posters I

AB213. SOH26AB_0397. Perioperative factors influencing length of stay in patients following rectal cancer resection

Tessa Daly, Kasi Subramanian, Eleanor Faul, David Beddy, Niamh McCawley, Deborah McNamara, John Burke

Department of Surgery, Beaumont Hospital, Dublin, Ireland

Background: Rectal cancer accounts for a major burden on global health, representing 10% of all cancer diagnoses worldwide. Postoperative length of stay (LOS) is a key quality indicator of surgical care. Understanding factors which influence LOS is essential for optimising surgical pathways, resource allocation, and patient outcomes. The aim of this study was to investigate the pre-operative and intra-operative factors associated with LOS following rectal cancer resection.

Methods: A retrospective observational analysis was conducted of all rectal cancer resections performed in a tertiary hospital (Beaumont Hospital) and the National Rectal Cancer Centre between 2019 and 2023. Cases were identified using Hospital In-Patient Enquiry data, and patient charts were pulled for review. Demographic, clinical, and outcome variables were extracted from patient records. The primary endpoints were length of patient stay and 30-day mortality. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS).

Results: During the study period, 238 patients underwent rectal cancer resections. The mean age was 64.7 years, and 61% were men (n=147/238). The median LOS was 10.73 days (standard deviation, 10.53 days; range, 3–106 days). There were no deaths within 30 days of admission. LOS was positively correlated with American Society of Anaesthesiology (ASA) physical status classification system score (P=0.001), Charleston comorbidity index (P=0.003), age (P<0.001), body mass index (P=0.01), diabetic (P=0.03), drain tube placement (P<0.001), open operations (P<0.001), converted operations (P=0.003) and length of operation (P<0.001).

Conclusions: In this cohort, advanced age, higher ASA, comorbidities, and post-operative complications were all associated with longer admission. Targeted preoperative optimisation, careful operative planning, and enhanced recovery strategies may help mitigate the impact of these risk factors and further improve patient outcomes.

Keywords: Rectal cancer; length of stay (LOS); surgical outcomes; enhanced recovery; risk factors

Acknowledgments

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Footnote

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-ab213
Cite this abstract as: Daly T, Subramanian K, Faul E, Beddy D, McCawley N, McNamara D, Burke J. AB213. SOH26AB_0397. Perioperative factors influencing length of stay in patients following rectal cancer resection. Mesentery Peritoneum 2026;10:AB213.

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