Do prior abdominal operations alter the outcome of laparoscopically assisted right hemicolectomy?

Hamel, Christian; Pikarsky, Alon J.; Weiss, Eric G.; Nogueras, Juan J.; Wexner, Steven D.

doi:10.1007/s004640000218

Cited by 39 publications

(52 citation statements)

References 23 publications

(19 reference statements)

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“…Only a few studies have investigated the impact of prior surgery on laparoscopic colorectal procedures. In a study on laparoscopically assisted right colectomy, Hamel et al [8] found that there were no differences in the operating time, blood loss, complication rate, or hospital stay between patients with and those without previous surgery. Although there was a trend toward conversion in those who had undergone prior abdominal operations, the morbidity was not increased.…”

Section: Discussionmentioning

confidence: 99%

Previous abdominal operations do not affect the outcomes of laparoscopic colorectal surgery

2004

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The presence of prior surgery does not affect the operating time or blood loss of patients undergoing laparoscopic colorectal surgery. The conversion rate is not increased for patients with prior surgery. The postoperative outcomes in terms of ileus, complication rate, and hospital stay are not worse for patients with prior surgery. Previous abdominal surgery should not be considered as a contraindication for laparoscopic colorectal surgery.

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Section: Discussionmentioning

confidence: 99%

Previous abdominal operations do not affect the outcomes of laparoscopic colorectal surgery

2004

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“…The conversion rate for LRH in this study was 4%, which compares favourably with the published literature. 21 The reasons for conversion were locally advanced disease and adhesions due to previous surgery. The outcomes for converted patients were good.…”

Section: -23mentioning

confidence: 99%

Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma

Khan

Hemandas

Flashman

et al. 2011

annals

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INTRODUCTION Laparoscopic colorectal surgery has gained widespread acceptance. While many studies have compared laparoscopic and open left-sided resections, there is limited literature on right colonic resections. We aimed to analyse the short-term outcome of laparoscopic (LRH) and open right hemicolectomy (ORH) in our unit. METHODS Consecutive patients undergoing elective right hemicolectomies over a period of 28 months were included in the study. No selection criteria were used to allocate the surgical approach. Study parameters included surgical technique, demographic details, ASA grade, body mass index (BMI), length of hospital stay (LOS), post-operative mortality and morbidity, readmission rate and histopathological data. RESULTS A total of 164 patients underwent right hemicolectomies during the study period (LRH: 89, ORH: 75). Both groups were comparable in age, sex, BMI, ASA grade, tumour stage and lymph node harvest. Four patients (4.5%) in the laparoscopic group required conversion to open surgery. In resections with curative intent, microscopic margins were positive in two patients (3%) in the ORH group compared to one (1%) in the LRH group. Seven ORH patients had an adverse post-operative outcome (three anastomotic leaks, four deaths); there were no deaths/immediate complications in the LRH group (p<0.05). The median LOS for LRH patients (4 days, range: 2–21 days) was significantly shorter than for ORH patients (8 days, range: 3–38 days) (p<0.0001, Mann–Whitney U test). By day 5, 77% of LRH patients were discharged compared with only 21% of patients in the ORH group. There were two readmissions (2.7%) in the ORH group and nine (10.1%) in the LRH group. CONCLUSIONS Our findings demonstrate advantages in favour of LRH in terms of a shorter hospital stay and reduced post-operative major complications. LRH is safe and should therefore be available to all patients requiring colonic resection.

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“…In this series of 200 patients, 52% of whom had had a previous laparotomy, only five required conversion to laparotomy because of extensive intraabdominal adhesions. Hamel et al [20] compared the morbidity rate following right hemicolectomy between patients with and without prior abdominal operation. The complication rates for the two groups were similar despite the presence of more adhesions in the previously operated group.…”

Section: Adhesionsmentioning

confidence: 99%

Laparoscopic resection of colon Cancer: Consensus of the European Association of Endoscopic Surgery (EAES)

et al. 2004

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Do prior abdominal operations alter the outcome of laparoscopically assisted right hemicolectomy?

Cited by 39 publications

References 23 publications

Previous abdominal operations do not affect the outcomes of laparoscopic colorectal surgery

Previous abdominal operations do not affect the outcomes of laparoscopic colorectal surgery

Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma

Laparoscopic resection of colon Cancer: Consensus of the European Association of Endoscopic Surgery (EAES)

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