Redefining contraindications to laparoscopic colorectal resection for high-risk patients

Marks, John; Kawun, Ulana B.; Hamdan, Wajdi; Marks, Gerald

doi:10.1007/s00464-008-9828-9

Cited by 56 publications

(31 citation statements)

References 32 publications

(45 reference statements)

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“…18,19,28 However, analyses of our patients' postoperative hospital stays, time to recovery of full mobility, and analgesic requirements did not reveal significant differences between the 2 groups (e.g., mean hospital stays were 8.9 days for the mini-laparotomy group and 9.6 days for the laparoscopic group). This incongruence is likely due to patient selection; the majority of our patients required a VP shunt for bleeding-or tumor-related hydrocephalus.…”

Section: Time To Regain Full Mobility Analgesic Requirements and Lementioning

confidence: 61%

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Schucht¹,

Banz

Trochsler

et al. 2015

JNS

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OBJECT In ventriculoperitoneal (VP) shunt surgery, laparoscopic assistance can be used for placement of the peritoneal catheter. Until now, the efficacy of laparoscopic shunt placement has been investigated only in retrospective and nonrandomized prospective studies, which have reported decreased distal shunt dysfunction rates in patients undergoing laparascopic placement compared with mini-laparotomy cohorts. In this randomized controlled trial the authors compared rates of shunt failure in patients who underwent laparoscopic surgery for peritoneal catheter placement with rates in patients who underwent traditional mini-laparotomy. METHODS One hundred twenty patients scheduled for VP shunt surgery were randomized to laparoscopic surgery or mini-laparotomy for insertion of the peritoneal catheter. The primary endpoint was the rate of overall shunt complication or failure within the first 12 months after surgery. Secondary endpoints were distal shunt failure, overall complication/ failure, duration of surgery and hospitalization, and morbidity. RESULTS The overall shunt complication/failure rate was 15% (9 of 60 cases) in the laparoscopic group and 18.3% (11 of 60 cases) in the mini-laparotomy group (p = 0.404). Patients in the laparoscopic group had no distal shunt failures; in contrast, 5 (8%) of 60 patients in the mini-laparotomy group experienced distal shunt failure (p = 0.029). Intraoperative complications occurred in 2 patients (both in the laparoscopic group), and abdominal pain led to catheter removal in 1 patient per group. Infections occurred in 1 patient in the laparoscopic group and 3 in the mini-laparotomy group. The mean durations of surgery and hospitalization were similar in the 2 groups. CONCLUSIONS While overall shunt failure rates were similar in the 2 groups, the use of laparoscopic shunt placement significantly reduced the rate of distal shunt failure compared with mini-laparotomy.

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Section: Time To Regain Full Mobility Analgesic Requirements and Lementioning

confidence: 61%

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Schucht¹,

Banz

Trochsler

et al. 2015

JNS

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“…Although most of the patients in this study had a diagnosis of cancer, the laparoscopic approach has been shown to provide similar improvements in short term outcomes in studies of patients were the sole indication was diverticulitis. [22][23][24] The safety of colorectal surgery in various high risk groups (high body mass index, ASA Grade Ն3, and age Ͼ80) was demonstrated by Marks et al 25 This could be an area of further research and review so the indications of laparoscopic colorectal resections can be expanded.…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic Colectomy In Octogenarians and Nonagenarians: A Preferable Option to Open Surgery?

Kurian

Suryadevara

Vaughn

et al. 2010

Journal of Surgical Education

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“…Average 30-d in-hospital mortality following colectomy has a wide variation in the literature ranging from 0% to 80% [4][5][6][7] secondary to the various diagnoses and often emergent presentations of patients. Different scoring systems have been created adjusting standards to accommodate for case-mix in order to calculate preoperative risk [8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

A Review of Factors that Affect Mortality Following Colectomy

Klima¹,

Brintzenhoff²,

Agee³

et al. 2012

Journal of Surgical Research

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Redefining contraindications to laparoscopic colorectal resection for high-risk patients

Cited by 56 publications

References 32 publications

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Laparoscopic Colectomy In Octogenarians and Nonagenarians: A Preferable Option to Open Surgery?

A Review of Factors that Affect Mortality Following Colectomy

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