Role of Laparoscopic Management for Postgastrectomy Complications

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Dong Jin Kim, Wook Kim

Abstract

The role of laparoscopy for the management of various types of postgastrectomy complications has not yet been well studied. We describe laparoscopic management of postgastrectomy complications and present a comparison between laparoscopy and other modalities in terms of basic characteristics and postreoperation clinical course. We studied 82 patients with postgastrectomy complications (Clavien-Dindo grade ≥IIIa) at a single institution between April 2009 and November 2016. We excluded 15 patients with pulmonary, wound-related, and/or ambiguous complications and eventually studied 67 patients who were divided into nonoperative intervention (NI), laparoscopic reoperation (LR), and open reoperation (OR) groups. Clinicopathological characteristics and surgical outcomes were compared. Among the 67 patients studied, 31, 21, and 15 belonged to the NI, LR, and OR groups, respectively. Complications included bleeding in 29, leakage in 26, intestinal obstruction in 6, and intra-abdominal abscesses in 6 patients. Among the 21 patients in the LR group, bleeding was reported in 11, leakage in 5, intestinal obstruction in 3, and intra-abdominal abscesses in 2 patients. No significant differences were observed between the groups in terms of c...Continue Reading

References

Sep 21, 2016·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Suk Won Suh, Yoo Shin Choi
Oct 19, 2016·Journal of Gastric Cancer·UNKNOWN Information Committee of Korean Gastric Cancer Association

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