Short-term outcomes of laparoscopic colorectal resection in patients with previous abdominal operations

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Nader NaguibAshraf G Masoud

Abstract

Laparoscopic colorectal procedures (LCPs) are technically demanding; previous abdominal surgery may add to their complexity. The aim of our study was to assess the effect of previous abdominal surgery (PAS) on laparoscopic colorectal surgery. A prospective database was used to record LCPs between 2001 and 2011. Patients were divided into two groups: Group A consisted of patients with no PAS, and Group B of patients with PAS. Data collected included prior abdominal operations, type of LCP, operative time, and conversions. Operative mortality, morbidity, and ward stay in both groups were compared. Statistical analysis was performed using Fisher's exact test and Student's t test. One hundred eighty-one patients underwent LCPs: 113 in Group A and 68 in Group B. Mean operative time in Group A and Group B was 216.5 (range, 60-520) minutes and 233.2 (range, 114-544) minutes, respectively (P = .17). In the first 90 cases, the mean operative time was significantly lower for Group A (203 minutes) than in Group B (236.5 minute) (P = .02). The rate of conversion was 10.6% (12/113) in Group A and 13.2% (9/68) in Group B (P = .6). Two patients in Group B had small bowel enterotomies (1 missed on the operating table) compared with none in Gro...Continue Reading

References

Oct 22, 2003·Surgical Endoscopy·A J KarayiannakisC Simopoulos
Oct 27, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M C ParkerH Ellis
May 30, 2008·The British Journal of Surgery·H M DowsonT A Rockall

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Citations

Apr 17, 2013·International Journal of Colorectal Disease·P A NeumannM Bruewer
Jul 28, 2016·World Journal of Gastrointestinal Surgery·Marleny Novaes FigueiredoYves Panis
Sep 16, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Erdinc KamerMehmet Haciyanli

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