Comparison of Laparoscopic and Open Emergency Surgery for Colorectal Perforation: A Retrospective Study

Abstract

BackgroundThis study aimed to clarify the safety and e cacy of laparoscopic surgery for colorectal perforation by comparing the clinical outcomes between laparoscopic and open emergency surgery for colorectal perforation. MethodsWe retrospectively reviewed the data of 100 patients who underwent surgery for colorectal perforation.The patients were categorized into two groups: the open group included patients who underwent laparotomy, and the laparoscopic group included those who underwent laparoscopic surgery. Clinical and operative characteristics and postoperative outcomes were evaluated. ResultsThe open and laparoscopic groups included 58 and 42 patients, respectively. More than half of the patients in both groups developed perforation in the sigmoid colon (open, 55.2%; laparoscopic, 59.5%).The most common cause of perforation was diverticulum, followed by colorectal cancer. The mean intraoperative blood loss tended to be lower in the laparoscopic group than in the open group (78.8 mL versus 160.1 mL; P=0.0756). Hospital stay tended to be shorter in the laparoscopic group than in the open group (42.5 versus 55.7 days; P=0.0965). There were no signi cant differences in either the short-or long-term outcomes between the two groups. Univariate and multivariate analyses showed that the choice of surgical approach (open versus laparoscopic) did not affect overall survival in patients with colorectal perforation. ConclusionsThe laparoscopic approach for colorectal perforation in an emergency setting is a safe procedure compared with the open approach. The laparoscopic approach was associated with a decrease in intraoperative blood loss and a shorter length of hospital stay. BackgroundIn recent years, the usefulness and safety of laparoscopic surgery have been demonstrated in various abdominal surgical procedures, such as cholecystectomy, gastrectomy, and colectomy [1][2][3][4][5][6]. Regarding colorectal diseases, several studies have compared open and laparoscopic surgery under various conditions, such as total colectomy for acute colitis, surgery for colorectal cancers, and colectomy for in ammatory bowel diseases [5][6][7][8][9][10][11]. These studies suggest that the advantages of laparoscopic surgery

Cost-comparison of robotic versus laparoscopic colorectal resections: a mapped systematic review and meta-analysis of published studies

“…Sometimes, it may involve removing the entire colon and/or rectum. Laparoscopic colorectal surgeries have shown to be superior when compared to the open approach, especially in emergency scenarios ( 6 , 7 ). The laparoscopic approach has been shown to be superior to the open approach in terms of post-operative pain, faster recovery, shorter hospital stays and better cosmesis ( 8 , 9 ).…”