Functional Recovery After Open Versus Laparoscopic Colonic Resection

Abstract

Functional recovery after colonic resection is rapid with a multimodal rehabilitation regimen and without differences between open and laparoscopic operation. Further large-scale studies are required on potential differences in serious morbidity and mortality.

Complication avoidance and management in anterior lumbar interbody fusion

“…Other findings suggest that patients who undergo an open procedure have a shorter LOS and that laparoscopic patients have a higher pain score. 75 Despite the studies reported herein and the position expressed in this document by some members of the Panel, the issue as to whether or not the duration of POI is shortened by laparoscopic procedures compared with open procedures is still under active study. Definitive conclusions about this controversy must await the results of large randomized trials.…”

“…To elucidate these issues, Basse and colleagues 75 conducted a randomized observer-and-patient blinded trial of 60 patients (median age, 75 years) who underwent elective laparoscopic or open colonic resection with fast-track rehabilitation and planned discharge after 48 hours. Functional recovery was assessed in detail during the first postoperative month.…”

Fast Track Surgery—Minimizing Side Effects of Surgery

“…Minimally, invasive surgery has minimized the somatic wound and should have neutralized the impediment to convalescence absolutely. But, the evidence has been to contrary, in a setting of level 1 designed study for colorectal operations [11]. It is therefore the importance of autonomic wound of abdominal surgery that needs to be considered.…”

Sham Surgery

“…Or consider the study comparing open colectomy to laparoscopic colectomy performed by Basse et al [16]. They randomly assigned 60 patients to one of these modes of surgery and, at the conclusion of the case, went to the considerable effort of covering the entire abdomen with a single large bandage.…”