Differences in early outcomes after open or laparoscopic surgery: what is the evidence?

Digestive Diseases
Savvas Papagrigoriadis

Abstract

Laparoscopic surgery has been widely studied in colorectal cancer and its feasibility and safety have been proven to the extent that in the UK a national laparoscopic colorectal surgery programme has been established. The advantages of laparoscopic surgery have been studied less systematically in diverticular disease. Several prospective uncontrolled studies have demonstrated that laparoscopic surgery for diverticular disease is feasible with low morbidity and mortality rates. A large population study in the USA has demonstrated elective laparoscopic surgery for diverticular disease to have reduced hospital stay by 1 day, and a lower rate of intra-operative and post-operative complications over open surgery. Some of the reported differences may be attributable to selection bias of more complex cases to open surgery. A Cochrane systematic review examining 11 non-randomized and 1 randomized study showed laparoscopic surgery to be feasible in diverticular disease, although there might be a higher minor complications rate in laparoscopic resections. Attention has been focused on surgical techniques as means to reduce complications. There is a belief that preservation of the inferior mesenteric and superior rectal artery protects fr...Continue Reading

References

Jul 5, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A H EngledowR W Motson
May 14, 2010·Surgical Endoscopy·Boris VestweberKarl-Heinz Vestweber
Jan 22, 2011·The British Journal of Surgery·R PendlimariD W Larson
May 25, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Khaled El Zarrok ElgazwiArmin Jaacks
Jul 7, 2011·World Journal of Surgery·Hossein MasoomiSteven Mills

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Citations

May 8, 2014·World Journal of Gastroenterology : WJG·Markus Alexander KüperJörg Glatzle
Aug 17, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xubing ZhangZiqiang Wang
Jul 14, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Aodhnait S FahyGeorges Azzie

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