Laparoscopic colorectal surgery – results from 200 patients

Scala, Arianna; Huang, Andrew; Dowson, H. M.; Rockall, Tim

doi:10.1111/j.1463-1318.2006.01198.x

Cited by 27 publications

(20 citation statements)

References 13 publications

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“…This is lower than previously published conversion rates in laparoscopic colorectal surgery, which ranged from 5% in selected patient groups to in excess of 20% in unselected groups (3,4,21).…”

Section: Discussioncontrasting

confidence: 63%

Laparoscopic Colorectal Resection in Patients With Previous Abdominal and Colonic Surgery

Siddiqi

Zaman

Patel

et al. 2015

J Minim Invasive Surg Sci

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Background: Previous abdominal surgery and its related adhesions are usually a relative contraindication for laparoscopic surgery or reason for conversion. Objectives: This study aim to identify patients with previous abdominal surgery and compare the clinical outcomes in patients with and without previous abdominal surgery. Patients and Methods: Data was collected prospectively from September 2006 to Dec 2010 of all laparoscopic colorectal resections done for both benign and malignant diseases. Results: Out of 718 patients 476 had no previous abdominal surgery (Group A), whilst 190 patients had previous abdominal surgery not involving colonic surgery (Group B), and 52 had previous bowel surgery (Group C). The conversion rate was 4% for all groups, the readmission rate was 11.8% for Group A, 12.6% for Group B and 9.6% for Group C, the median length of stay was 4 days for Groups A and B and 5 days for Group C. There was no statistically significant difference between groups for any of the above measures. However, there was a statistically significant difference in the length of operative time between groups. Patients in Group A and Group B requiring a median of 180 minutes, whilst Group C required a median of 210 minutes of operative time. (P = 0.026 and 0.002, respectively). Conclusions: Previous abdominal surgery, including previous colonic surgery, confers no added risk of conversion to an open operation, morbidity or mortality for patients undergoing laparoscopic colorectal surgery. The operative time however is longer (30 minutes) for patients with previous colonic surgery.

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Section: Discussioncontrasting

confidence: 63%

Laparoscopic Colorectal Resection in Patients With Previous Abdominal and Colonic Surgery

Siddiqi

Zaman

Patel

et al. 2015

J Minim Invasive Surg Sci

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show abstract

“…En el análisis univariado, la necesidad de transfusión de glóbulos rojos en el intraoperatorio y la edad sobre 75 años, fueron los factores que resultaron significativos con un OR de 8,36 (3,18) y 1,79 (1,(1)(2)(3)20) respectivamente. Los factores que no resultaron significativos pero que se consideraron para el análisis multivariado fueron el puntaje ASA III o IV, el IMC, el tiempo operatorio y la cirugía de urgencia (Tabla 5).…”

Section: Resultsunclassified

“…Numerosas publicaciones han demostrado las ventajas del abordaje laparoscópico en cuanto a menor necesidad de analgésicos, menor tiempo de estadía hospitalaria, menor tiempo de reinicio de actividades regulares y menor infección de sitio quirúrgico [1][2][3][4][5] . Sin embargo, el abordaje mínimamente invasivo no está exento de complicaciones, su morbilidad descrita va entre un 6 y un 30% y la mortalidad entre 0 y 4,5% 6 .…”

Section: Factores Asociados a Morbilidad Precoz En Cirugía Colorrectaunclassified

Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica

Gellona

et al. 2013

Rev Chil Cir

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Factors associated with early morbidity in laparoscopic colorectal surgery Introduction: Different factors have been associated with increased risk of complications in laparoscopic colorectal surgery. The aim of this study is to identify these factors in our series. Method: Retrospective cohort. All patients undergoing laparoscopic colorectal surgery between January 2000 and June 2012 were included. Patients who had postoperative complications until 30 days postoperatively were identified and analyzed by univariate and multivariate logistic regression. A p value less than 0.2 was used was used as a criteria for entry into the multivariate model. Results: The series consists of 848 patients with a median age of 58 ± 22 years. Main surgical indications were: neoplasia (42.3%), diverticular disease (27.8%) and inflammatory bowel disease (8.8%). Most frecuently-performed procedures were: sigmoidectomy (39.5%), anterior resection of the rectum (13.4%), right hemicolectomy (13%) and total colectomy (8.7%). On univariate analysis, factors associated with complications were age over 75 years (OR 1.82, 95% CI 1.02 to 3.25) and red blood cell transfusion (OR 8.47, 95% CI 3.69 to 19.43). On multivariate analysis, red blood cell transfusion (OR 7.9 95% CI 1.78 to 35.88) and ASA III or IV (OR 3.26 95% CI 1.01 to 17.23) were independent factors associated with postoperative complications. Conclusion: Intraoperative red blood cell transfusion and ASA score III or IV are independent risk factors associated with complications in laparoscopic colorectal surgery.

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“…It is thus being used increasingly for treatment of large benign neoplasms and early malignancies. The reported complication rates range from 15–18%, with a conversion rate to open procedure of 3–10% and a 1% mortality rate in one series 33–36 . A randomized controlled trial of colonoscopic resection and laparoscopic surgery would be difficult to perform given the current data and we believe they should be viewed as complementary rather than competing technologies.…”

Section: Discussionmentioning

confidence: 96%

Outcomes of endoscopic resection of large colorectal neoplasms: An Australian experience

Salama

Ormonde

Quach

et al. 2009

J of Gastro and Hepatol

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Laparoscopic colorectal surgery – results from 200 patients

Abstract: Laparoscopic colorectal surgery is possible for most benign and malignant conditions, with low conversion and complication rates, as well as short hospital stay.

Cited by 27 publications

References 13 publications

Laparoscopic Colorectal Resection in Patients With Previous Abdominal and Colonic Surgery

Laparoscopic Colorectal Resection in Patients With Previous Abdominal and Colonic Surgery

Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica

Outcomes of endoscopic resection of large colorectal neoplasms: An Australian experience

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