Laparoscopic versus open fecal diversion: does laparoscopy offer better outcomes in short term?

Techniques in Coloproctology
Emre GorgunFeza H Remzi

Abstract

Laparoscopic fecal diversion is performed in patients with complicated colon and rectal diseases. We aim to compare operative and short-term outcomes between laparoscopic and open fecal diversion. After obtaining institutional review board approval, patients undergoing laparoscopic or open fecal diversion between February 2010 and September 2012 were reviewed. A straight comparison of the open and laparoscopic groups was made initially; then, patients who underwent laparoscopic fecal diversion were case-matched with open counterparts based on stoma type and primary diagnosis. While body mass index (BMI) was higher in the laparoscopy group (p = 0.04), American Society of Anesthesiologists (ASA) score (p = 0.33) and gender (p = 0.74) were comparable between the study groups in the straight comparison. In the case-matched analysis, type of prior operations (p > 0.05), age (p = 0.79), gender (p > 0.99), BMI (p = 0.1), and ASA (p = 0.25) score were comparable between the groups. Open surgery was associated with increased estimated blood loss (p = 0.01), longer hospital stay (p = 0.0002), higher postoperative ileus (p = 0.03), and higher readmission rates (p = 0.002). Considering the short-term benefits as regards postoperative recov...Continue Reading

References

May 1, 1982·Diseases of the Colon and Rectum·M J Winkler, P A Volpe
Mar 1, 1996·Diseases of the Colon and Rectum·K A LudwigV W Fazio
Mar 21, 1998·The British Journal of Surgery·M A HollyoakR W Stitz
Jan 16, 2002·JAMA : the Journal of the American Medical Association·Jane C WeeksUNKNOWN Clinical Outcomes of Surgical Therapy (COST) Study Group
Feb 5, 2004·Seminars in Laparoscopic Surgery·Lucia Oliveira
Jan 15, 2005·Annals of Surgery·Paris P TekkisJames M Church
Nov 10, 2011·Diseases of the Colon and Rectum·Karen N ZaghiyanPhillip R Fleshner
Jul 4, 2012·Surgical Endoscopy·Art HiranyakasSteven D Wexner
Nov 23, 2013·The British Journal of Surgery·E AytacR P Kiran
Apr 9, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Erman AytacMeagan M Costedio
Apr 25, 2014·Gastroenterology Report·Daniel C K NgC N Tang

❮ Previous
Next ❯

Citations

Oct 9, 2018·ANZ Journal of Surgery·Arie SebastianDavid A Watters
May 6, 2016·Diseases of the Colon and Rectum·Srinivas Joga IvaturyStefan D Holubar
Oct 14, 2019·Techniques in Coloproctology·F FerraraUNKNOWN Multidisciplinary Italian Study group for STOmas (MISSTO)
Oct 4, 2019·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Navjot SinghNavneet Kumar Chaudhry
May 7, 2016·Current Opinion in Urology·Ronak A GorSean P Elliott
Apr 9, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Leyla OzerErman Aytac

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.