Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

Çelik, Sebahattin; Yılmaz, Eyüp Murat

doi:10.12659/msm.906973

Cited by 15 publications

(13 citation statements)

References 16 publications

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“…Laparoscopic gastrectomy was found to be more effective than open gastrectomy in reducing intraoperative blood loss, post-operative complications, and reducing hospital stays [18,19]. However, the incidence of pulmonary complications did not differ from that of open gastrectomy [20]. In particular, upper abdominal surgery is a risk factor for post-operative pulmonary complications, and a systematic review reported an odds ratio of 2.91 (95% Confidence Interval: 2.35-3.60) [21].…”

Section: Discussionmentioning

confidence: 96%

Effects of Sugammadex on Post-Operative Pulmonary Complications in Laparoscopic Gastrectomy: A Retrospective Cohort Study

Han

Ryu

Koo

et al. 2020

JCM

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The use of sugammadex can reduce post-operative residual neuromuscular blockade, which is known to increase the risk of post-operative respiratory events. However, its effect on post-operative pulmonary complications is not obvious. This study was performed to evaluate the effects of sugammadex on post-operative pulmonary complications in patients undergoing laparoscopic gastrectomy between 2013 and 2017. We performed propensity score matching to correct for selection bias. Post-operative pulmonary complications (i.e., pneumonia, respiratory failure, pleural effusion, atelectasis, pneumothorax, and aspiration pneumonitis) were evaluated from the radiological and laboratory findings. We also evaluated admission to the intensive care unit after surgery, re-admission or an emergency room visit within 30 days after discharge, length of hospital stay, re-operation, and mortality within 90 days post-operatively as secondary outcomes. In the initial cohort of 3802 patients, 541 patients were excluded, and 1232 patients were analyzed after propensity score matching. In the matched cohort, pleural effusion was significantly reduced in the sugammadex group compared to the neostigmine group (neostigmine 23.4% vs. sugammadex 18%, p = 0.02). Other pulmonary complications and secondary outcomes were not significantly different between the groups. In comparison to neostigmine, the use of sugammadex was associated with a lower incidence of post-operative pleural effusion in laparoscopic gastrectomy.

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Section: Discussionmentioning

confidence: 96%

Effects of Sugammadex on Post-Operative Pulmonary Complications in Laparoscopic Gastrectomy: A Retrospective Cohort Study

Han

Ryu

Koo

et al. 2020

JCM

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“…However, laparoscopy was reported to be more reliable in terms of hospital stay and lung infections (14). Authors of this study showed that lung ventilation is better and that there is less pulmonary complication in In a study on 296 patients who underwent robotic gynecological operations, among all the study population only 5 patients (2%) experienced a pulmonary complication.…”

Section: Discussionmentioning

confidence: 92%

İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal

Karakuş

Özkaya

Tayyar

et al. 2020

Zeynep Kamil Tıp Bülteni

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Aim: We aimed to compare pre and post-operative pulmonary function between women who underwent laparoscopic or abdominal hysterectomy. Methods: We prospectively collected data between January 2015 and November 2016 at Health Sciences University Zeynep Kamil Women and Children's Diseases Training and Research Hospital. Patients who were admitted to the Obstetrics and Gynecology clinic with a hysterectomy indication were non-randomly allocated into 2 groups as the laparoscopy group (n=24) and the open surgery group (n=26) according to patient priorities and surgeons' preference. Patients who had already undergone an abdominal operation and systemic disorders were excluded from the study. Pulmonary function tests were assessed and compared preoperatively and at postoperative day five. Results: There were significant changes in majority of the parameters of pulmonary function test after surgery compared to baseline measurements except PaCO2, PaO2 and SaO2 levels in group of women who underwent total abdominal hysterectomy. There were significant changes in majority of the parameters of pulmonary function test after surgery compared to baseline measurements except PaCO2 levels in group of women who underwent total laparoscopic hysterectomy 3 Conclusion: Both laparoscopic and abdominal hysterectomies were associated with deteriorated pulmonary function tests.

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“…1,14,15 The lower risk of respiratory complications of the laparoscopic approach can be explained with better lung ventilation as a result of less incision pain in the postoperative period for laparoscopic surgery. 16 The mechanism of diminished ileus has been explained in the literature with activating a pro-inflammatory cascade within intestinal tissues with the end effect of suppression of bowel muscle function. 17,18 The laparoscopic approach could reduce the inflammatory process and decrease the risk of postoperative prolonged ileus.…”

Section: Discussionmentioning

confidence: 99%

68 Outcomes of Minimally Invasive Colectomy for Perforated Diverticulitis

Moghadamyeghaneh¹,

Talus²,

Stamos³

et al. 2020

Gastroenterology

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Background: We hypothesized that a laparoscopic approach to sigmoidectomy for perforated diverticulitis is associated with less morbidity and mortality. Methods:The NSQIP database was used to investigate adult patients who underwent emergent colectomy with end colostomy for perforated diverticulitis. A multivariate analysis using logistic regression was used to compare outcomes of patients by surgical approach.Results: We found a total of 2937 adult patients who underwent emergent colectomy for perforated diverticulitis during 2012-2017. The rate of minimally invasive surgery (MIS) was 11.4% with 38.6% conversion rate to open. The 30-day mortality and morbidity rates were 8.8% and 65.8%, respectively. Following adjustment using a multivariate analysis, the open approach was associated with higher morbidity (67.2% vs 56.8%, AOR: 1.70, P < .01) and mean hospitalization length of patients (13 days vs 10 days, P < .01) compared to the MIS approach. Respiratory complications of ventilator dependency (14.3% vs 6%, AOR: 2.95, P < .01) and unplanned intubation (7.4% vs 2.4%, AOR: 2.14, P = .03) were significantly higher in the open approach. However, patients who underwent the open approach were older (age >70; 33.5% vs 24%, P < .01) with more comorbid conditions such as COPD (10.8% vs 7.2%, P = .04) and CHF (9% vs 3.1%, P < .0). Conclusion:The MIS approach to emergent partial colectomy for perforated diverticulitis is associated with decreased morbidity and hospitalization length of patients. Utilization of the MIS approach for partial colectomy for perforated diverticulitis is 11.4% with a conversion rate of 38.6%. Efforts should be directed toward increasing the utilization of laparoscopic approaches for the surgical treatment of perforated diverticulitis.

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Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

Cited by 15 publications

References 16 publications

Effects of Sugammadex on Post-Operative Pulmonary Complications in Laparoscopic Gastrectomy: A Retrospective Cohort Study

Effects of Sugammadex on Post-Operative Pulmonary Complications in Laparoscopic Gastrectomy: A Retrospective Cohort Study

İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal

68 Outcomes of Minimally Invasive Colectomy for Perforated Diverticulitis

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