Outcome of laparoscopic colorectal resection

Degiuli, Maurizio; Mineccia, Michela; Bertone, A.; Arrigoni, Arrigo; Pennazio, Marco; Spandre, M.; Cavallero, M; Calvo, F.A.

doi:10.1007/s00464-002-9267-y

Cited by 38 publications

(21 citation statements)

References 16 publications

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“…With the development of minimally invasive surgery, these morbidity rates may be reduced. The advantages of smaller incisions, decreased postoperative pain, shorter recovery time, and early return to normal activity, have been well described [6][7][8][9][10]. LAHR can offer a clear advantage over OHR in cases that require mobilization of the splenic flexure by avoiding an upper abdominal incision and its potentially increased respiratory complications [20,21].…”

Section: Discussionmentioning

confidence: 99%

“…Minimally invasive techniques for colorectal surgery have evolved since the early 1990 s. Advantages of the laparoscopic approach in colectomies such as decreased morbidity, postoperative pain, hospital stay, and faster return to normal activity [6][7][8][9][10] have led to the application to other procedures such as reversal of Hartmann's procedure. Several small series have reported successful laparoscopic assisted Hartmann's reversal (LAHR) [11][12][13], and a recent systematic review has confirmed that minimally invasive benefits apply for LAHR [14].…”

mentioning

confidence: 99%

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Laparoscopic and open reversal of Hartmann’s procedure—a comparative retrospective analysis

et al. 2008

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Laparoscopic and open reversal of Hartmann’s procedure—a comparative retrospective analysis

et al. 2008

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“…Recently reported morbidity rates between 6 and 31% for laparoscopic colorectal surgery are well comparable with our data. This also applies to the reported mortality rates varying between 0 and 4.5% in the published literature [9,10]. No large study has been conducted to investigate the risk factors for perioperative complications undergoing laparoscopic sigmoid resection, and until now most studies have concentrated on only few factors with small sample sizes.…”

Section: Discussionmentioning

confidence: 99%

Predictive Risk Factors for Intra‐ and Postoperative Complications in 526 Laparoscopic Sigmoid Resections due to Recurrent Diverticulitis: A Multivariate Analysis

et al. 2010

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Background Laparoscopic sigmoid resection is a feasible and frequent operation for patients who suffer from recurrent diverticulitis. There is still an ongoing debate about the optimal timing for surgery in patients who suffer from recurrent diverticulitis episodes. In elective situations the complication rate for this procedure is moderate, but there are patients at high risk for perioperative complications. The few identified risk factors so far refer to open surgery. Data for the elective laparoscopic approach is rare. The objective of this study was to identify potential predictive risk factors for intra-and postoperative complications in patients who underwent laparoscopic sigmoid resection due to diverticular disease. Methods Uni-and multivariate analyses of a prospectively gathered database (1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006) were performed on a consecutive series of 526 patients who underwent laparoscopic sigmoid resection due to recurrent diverticulitis in a single institution. Patients were assessed for demographic data, operative indications, and intra-and postoperative complications. Altogether, we analyzed 17 potential risk factors to identify significant influence on the intra-and postoperative outcome, including timing of surgery. Results Statistical analysis of specific medical and surgical complications revealed anemia, previous myocardial infarction, heart failure, experience of the surgeon, and male gender, as independent predictive risk factors for postoperative complications. Patients older than age 75 years was the only independent risk factor for intraoperative complications in a multiple logistic regression model. Early elective surgery led to increased conversion rate but did not influence the postoperative complication rate. Conclusions This large, single-center study provides first evidence of the significance of specific predictive risk factors for intra-and postoperative complications in laparoscopic sigmoid resection for diverticular disease.

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“…The surgical techniques used were similar to those described by other authors in all the principal phases and according to the standard laparoscopic procedures for colon resection (right and left sides) [8,9]. In all cases, a mechanical bowel preparation was completed.…”

Section: Technical Aspectsmentioning

confidence: 99%

Minilaparoscopic colorectal resection: a preliminary experience and an outcomes comparison with classical laparoscopic colon procedures

et al. 2007

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Even if limited by its retrospective design, the reported experience shows that minilaparoscopic surgery may be a safe and effective approach to colon pathology. The described features make minilaparoscopy a challenging alternative to laparoscopy for colon disease. If proven to be cost effective without undue risk, as long as adequate training is obtained and proper preparation is observed, minilaparoscopy may become a standard surgical approach for selected patients.

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Outcome of laparoscopic colorectal resection

Abstract: Laparoscopic colorectal surgery performed in experienced centers is safe; the observed morbidity and mortality rates are low and acceptable and compare favorably to those observed after standard open surgery.

Cited by 38 publications

References 16 publications

Laparoscopic and open reversal of Hartmann’s procedure—a comparative retrospective analysis

Laparoscopic and open reversal of Hartmann’s procedure—a comparative retrospective analysis

Predictive Risk Factors for Intra‐ and Postoperative Complications in 526 Laparoscopic Sigmoid Resections due to Recurrent Diverticulitis: A Multivariate Analysis

Minilaparoscopic colorectal resection: a preliminary experience and an outcomes comparison with classical laparoscopic colon procedures

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