Is laparoscopic surgery safe for elderly patients with diverticulitis? A national database study

Braschi, Caitlyn; Liu, Jessica K; Moazzez, Ashkan; Petrie, Beverley A.

doi:10.1007/s00423-022-02695-2

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…There was no difference in short term reoperations rates after laparoscopic and open approach however one study included shows a decrease in reoperation rates following LCR in comparison to OCR. 35 Both laparoscopic approaches result in a shorter length of stay after the index surgery versus open resection. In conclusion, with respect to short term outcomes such as post op complications, mortality rate, reoperations, and length of stay after the index surgery, laparoscopic approach seems to be the better choice vs open surgery.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic versus open colectomy for acute complicated diverticulitis: a comparative study of outcomes - a systematic review

Pinto,

Tapia,

Fierro

et al. 2024

Int J Res Med Sci

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Acute complicated diverticulitis presents a more severe form of diverticular illness frequently needing urgent medical intervention and possibly surgical therapy. The aim of this review is to gather conclusive evidence from the literature comparing laparoscopic techniques to open and conservative ones in order to determine the most effective treatment plan for complicated diverticulitis. Online databases like PubMed, Google Scholar, Cochrane, Elsevier and many others were systematically searched according to an inclusion criterion to obtain a total of 13 studies to be included in the review. 8/13 studies presented short term outcomes while 5/13 studies concluded with long term outcomes following index surgeries. Based on the end results, it can be concluded that laparoscopic surgery, in particular laparoscopic colon resection is superior to other techniques in treating complicated diverticulitis in terms of fewer short-term complications, low mortality rate better quality of life with few recurrence rates. However, other approaches have their own advantages and can be given priority based on the unique presentation of each case. The clinicians are advised to make informed decisions keeping in view all the patient and disease associated aspects.

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Section: Discussionmentioning

confidence: 99%

“…Figure 2: Traffic lights plot for risk of bias [19][20][21][22][23][24][25][26][27][28][29][30][31]. …”

mentioning

confidence: 99%

Laparoscopic versus open colectomy for acute complicated diverticulitis: a comparative study of outcomes - a systematic review

Pinto,

Tapia,

Fierro

et al. 2024

Int J Res Med Sci

View full text Add to dashboard Cite

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“…Elderly patients with good cardiopulmonary function and no serious organic changes can be given priority to laparoscopic surgery. Preoperative attention should be paid to the patient's cardiopulmonary function, although laparoscopic surgery has less trauma and less interference to patients, but anesthesia, surgery and other shocks can still have a serious impact on the heart, lung, kidney and other important organs [ 16 ]. The main manifestations of hemodynamic instability were insufficient blood supply to the heart, insufficient blood supply to the brain, and abnormal pumping of the heart [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

The role of laparoscopy in closed abdominal injury

Fu,

Zhou,

2023

Heliyon

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“…Laparoscopic surgery, known for its advantages of minimal trauma, reduced bleeding, and faster postoperative recovery compared to open surgery (1)(2)(3). The concept of anesthesia and perioperative Enhanced Recovery After Surgery has brought forth new and significantly higher demands on anesthesia during laparoscopic surgery (4,5).…”

Section: Introductionmentioning

confidence: 99%

Comparison of combined intravenous and inhalation anesthesia and total intravenous anesthesia in laparoscopic surgery and the identification of predictive factors influencing the delayed recovery of neurocognitive function

Song,

Wu,

2024

Front. Med.

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BackgroundCompare the anesthesia effects of combined intravenous and inhalation anesthesia (CIVIA) and total intravenous anesthesia (TIVA) in laparoscopic surgery. Furthermore, our objective is to examine the elements that contribute to the delay in postoperative recovery of neurocognitive function and anticipate the manifestation of delayed recovery by analyzing serum cytokines.MethodsThe CIVIA group and the TIVA group both consisted of 130 patients who were scheduled to have elective major abdominal surgery through laparoscopy. The criteria taken into account by the observational and record-keeping study were the patients’ ages, sexes, body masses, heights, and the presence or absence of any preexisting problems. Both groups also had their anesthetic depth, duration, and per-unit-of-time muscle relaxant and analgesic dosages recorded. Finally, the length of each patient’s stay in the hospital as well as their overall length of stay were tracked. By using the Mini-Mental State Examination (MMSE) to measure cognitive function, we assessed the mental states of the subjects. Additionally, we wanted to identify any biomarkers that could be linked to postoperative cognitive decline or delays in neurocognitive recovery.ResultsA total of 51 participants from the CIVIA group and 53 participants from the TIVA group satisfactorily completed the necessary neuropsychological exam for identifying delayed neurocognitive recovery at the study’s completion. In the initial data of the two groups, no significant discrepancies were found (p > 0.05). The CIVIA group exhibited noteworthy reductions in the quantity of administered analgesics and muscle relaxants per unit of time in comparison to the TIVA group (p < 0.05). In addition to this, the duration from the sevoflurane tank being closed to the extubation period demonstrated a significant reduction in the CIVIA group compared to the TIVA group (p < 0.05). Moreover, no statistically notable distinction was observed in terms of postoperative hospitalization duration and overall hospitalization duration among both groups (p > 0.05). According to the study, both the CIVIA group and the TIVA group had a total of 7 (13.72%) and 17 (32.07%) individuals, respectively, who met the criteria for neurocognitive delayed recovery (Odds Ratio: 0.336; 95% CI: 0.134–0.864; p = 0.026). According to the research findings, it is indicated that there is a possibility for an increased presence of IL-6 in the bloodstream within 60 min following the incision made on the skin. This occurrence subsequently leads to the prolonged restoration of neurocognitive capabilities.ConclusionThe CIVIA technique outperforms the TIVA method in terms of overall assessment in the setting of laparoscopic surgery. It’s also important to remember that an increased blood IL-6 level during laparoscopy may operate as a separate risk factor for a delay in the restoration of neurocognitive function.

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Is laparoscopic surgery safe for elderly patients with diverticulitis? A national database study

Cited by 5 publications

References 15 publications

Laparoscopic versus open colectomy for acute complicated diverticulitis: a comparative study of outcomes - a systematic review

Laparoscopic versus open colectomy for acute complicated diverticulitis: a comparative study of outcomes - a systematic review

The role of laparoscopy in closed abdominal injury

Comparison of combined intravenous and inhalation anesthesia and total intravenous anesthesia in laparoscopic surgery and the identification of predictive factors influencing the delayed recovery of neurocognitive function

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