Factors and consequences of conversion in laparoscopic sigmoidectomy for diverticular disease

Moine, M.; Fabré, J; Vacher, Cécile; Navarro, Françis; Picot, M.-C.; Domergue, J

doi:10.1002/bjs.4035

Cited by 93 publications

(68 citation statements)

References 14 publications

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“…2,3 However colovesical fistulas are still considered a contraindication as a result of previously reported increased operating times and conversion rates. [4][5][6][7] A review of the literature indicated very few studies on the laparoscopic management of diverticular colovesical fistulas exist. 4,8,9 The outcomes of recent studies are difficult to interpret as many have incorporated both recurrent uncomplicated and complicated disease, have not differentiated between colovesical fistulas and other diverticular fistulas, [10][11][12][13][14][15] or have included fistulas of various aetiologies.…”

mentioning

confidence: 99%

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Marney

2013

International Surgery

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Colovesical fistulas secondary to diverticular disease may be considered a contraindication to the laparoscopic approach. The feasibility of laparoscopic management of complicated diverticulitis and mixed diverticular fistulas has been demonstrated. However, few studies on the laparoscopic management of diverticular colovesical fistulas exist. A retrospective analysis was performed of 15 patients with diverticular colovesical fistula, who underwent laparoscopic-assisted anterior resection and bladder repair. Median operating time was 135 minutes and median blood loss, 75 mL. Five patients were converted to an open procedure (33.3%) with an associated increase in hospital stay (P ¼ 0.035). Median time to return of bowel function was 2 days and median length of stay, 6 days. Overall morbidity was 20% with no major complications. There was no mortality. There was no recurrence during median follow-up of 12.4 months. These results suggest that laparoscopic management of diverticular colovesical fistulas is both feasible and safe in the setting of appropriate surgical expertise.

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confidence: 99%

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Marney

2013

International Surgery

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“…In terms of inflammatory cytokine levels, however, the minimal invasiveness of LS remains controversial. Some studies have reported significantly lower inflammatory cytokine levels after LS [15,16] , whereas others have found no significant difference in such levels between LS and OS [17,24,25] . Further studies are needed to objectively evaluate the minimal invasiveness of LS for colorectal cancer.…”

Section: Minimal Invasiveness Of Laparoscopic Colectomymentioning

confidence: 98%

“…Compared with OS, LS offers many benefits, such as a small surgical wound, good esthetic results, less pain, decreased use of analgesics, early recovery of intestinal peristalsis, and a shorter hospital stay [14][15][16][17][18][19][20][21][22][23] . In terms of inflammatory cytokine levels, however, the minimal invasiveness of LS remains controversial.…”

Section: Minimal Invasiveness Of Laparoscopic Colectomymentioning

confidence: 99%

Present laparoscopic surgery for colorectal cancer in Japan

Sato

Watanabe

2016

WJCO

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In many clinical studies, laparoscopic surgery (LS) for colon cancer has been shown to be less invasive than open surgery (OS) while maintaining similar safety. Furthermore, there are no significant differences between LS and OS in long-term outcomes. Thus, LS has been accepted as one of the standard treatments for colon cancer. In the treatments of rectal cancer as well, LS has achieved favorable outcomes, with many reports showing long-term outcomes comparable to those of OS. Furthermore, the magnification in laparoscopy improves visualization in the pelvic cavity and facilitates precise manipulation, as well as providing excellent educational effects. For these reasons, rectal cancer has seemed to be well indicated for LS, as has been colon cancer.

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“…In terms of inflammatory cytokine levels, however, the minimal invasiveness of laparoscopic surgery remains controversial. Some studies have reported significantly lower inflammatory cytokine levels after laparoscopic surgery 12,20) , whereas others have found no significant differences in such levels between laparoscopic surgery and open surgery 13,21,22) . Further studies are warranted to objectively evaluate the minimal invasiveness of laparoscopic surgery for colorectal cancer.…”

Section: Colon Cancermentioning

confidence: 99%

“…Compared with open surgery, laparoscopic surgery offers many benefits, such as smaller surgical wounds, good esthetic results, less pain, decreased use of analgesics, early recovery of intestinal peristalsis, and a shorter hospital stay [10][11][12][13][14][15][16][17][18][19] . In terms of inflammatory cytokine levels, however, the minimal invasiveness of laparoscopic surgery remains controversial.…”

Section: Colon Cancermentioning

confidence: 99%

The present status and developments of laparoscopic surgery for colorectal cancer

Sato

Watanabe

2017

J Anus Rectum Colon

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Abstract:Laparoscopic surgery for colorectal cancer has been shown to be less invasive than open surgery, while maintaining a similar safety level in many clinical trials. Furthermore, there are no significant differences between laparoscopic surgery and open surgery with respect to the long-term outcomes in colon cancer. Thus, laparoscopic surgery has been accepted as one of the standard treatments for colon cancer. In addition, laparoscopic surgery has also achieved favorable outcomes in the treatments of rectal cancer, with many reports showing long-term outcomes comparable to those of open surgery. Furthermore, the magnification in laparoscopy improves visualization in the pelvic cavity and facilitates precise manipulation, as well as providing an excellent educational opportunity. Laparoscopic surgery may be an ideal approach for the treatment of rectal cancer and colon cancer. Recently, two trials showed that, among patients with advanced rectal cancer, the use of laparoscopic surgery as compared with open surgery confirmed to meet the criterion for non-inferiority for long-term outcomes. In addition, new techniques such as single-port and robotic surgery have been introduced for laparoscopic surgery in recent years.

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Factors and consequences of conversion in laparoscopic sigmoidectomy for diverticular disease

Abstract: Surgical experience and severe diverticular disease are predictive factors for conversion in laparoscopic elective sigmoidectomy. Even if necessary, conversion does not increase the morbidity rate.

Cited by 93 publications

References 14 publications

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Present laparoscopic surgery for colorectal cancer in Japan

The present status and developments of laparoscopic surgery for colorectal cancer

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