EP547 - Colorectal Surgery journey of a DGH

Abstract Colorectal cancer is the fourth most common cancer in the UK, and the management and practice have evolved over the years. A colorectal surgery performance audit was conducted at Pilgrim Hospital. The data collected was analysed and assessed against performance indicator set by NICE. The aim was to track progress and identify areas for improvement. Retrospective data collected from 2011-2020, paper and electronic. Data analysed with SPSS software. Total Anterior Resection. 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Open 18 41 16 12 3 13 10 11 7 13 Laparoscopic 1 4 13 22 26 23 18 27 24 12 Total 18 26 29 35 33 41 31 39 35 25 Length of Stay 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Total 12 12 13 9 9 9 8 8 8 Enhance Recovery Program 9 9 8 7 7 7 7 8 7 Complications 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Return to Theatre 3 5 6 3 2 5 6 3 1 Surgical Site Infection (SSI) 7 7 11 3 6 4 4 4 5 Anastomotic leak 6 2 1 1 3 3 2 3 0 Wound dehiscence 2 3 5 1 4 2 1 3 2 LRTI 1 1 2 1 3 1 2 2 0 The audit showed that, majority of the surgeries performed were open, with the laparoscopies increasing as the years progressed. Length of stay is shorter with ERP. Common complications were surgical site infections, anastomotic leak, return to theatre. Less common complications were lower respiratory tract infections and wound dehiscence.