Laparoscopic surgery significantly reduces surgical-site infections compared with open surgery

Varela, J. Esteban; Wilson, Samuel E.; Nguyen, Ninh T.

doi:10.1007/s00464-009-0569-1

Cited by 153 publications

(111 citation statements)

References 21 publications

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“…The management of many diseases is the benefit of the application of laparoscopic approach. Laparoscopic appendectomy is an increasing procedure in popularity since initially reported by Semm in 1983 (9). Several studies have shown the advantages of laparoscopic surgery in terms of shorter hospital stay, rapid postoperative recovery, and better pain control (10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Lasheen

Elaziz

Elaal

et al. 2016

J Minim Invasive Surg Sci

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Background: Despite the reported advantages of laparoscopic appendectomy (LA), an ongoing debate exists about a possible increase in postoperative infectious complication rates. The analyses of risk factors associated with surgical site infections (SSIs) after LA, have been limited. Patients and Methods: One hundred twenty laparoscopic appendectomies performed over one year, were included in this retrospective study. The patients were divided into 2 group; group A was the one in which LA was done with using reusable retrieval bag and group B without using that. Demographic details, operative time, hospital stay and infective postoperative complications were recorded. Results: This patient groups were selected to be similar in both groups A and B in form of appendicitis types. Each group included 27 (45%) acute catarrhal appendicitis, 20 (33.3%) suppurative appendicitis and 13 (21.7%) perforated appendicitis, P = 1.0. The median patients ages were 21 years (range, 16 to 49) in group A and 25 years (range, 18 to 56) in group B, P = 0.053. Group A included 60 patients (35 males and 25 females) and group B 60 patients (32 males and 28 females), P = 0.071. Mean operative time in group A was 55.7 minutes and in group B was 57 minutes, P = 0.0231. Superficial wound infections were recorded in one patient (1.7%) in group A and in 8 patients (13.3%) in group B, P = 0.007. Intra-abdominal abscess formation was a complicated outcome in 2 patients (3.3%) of group B, P = 0.005. Mean hospital stay was 1.6 days in group A and 2.7 days in group B, P = 0.05. Conclusions: Surgical wound infections are less common by using reusable retrieval bag during laparoscopic appendectomy procedure. Also, using reusable retrieval bag has less cost.

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Section: Introductionmentioning

confidence: 99%

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Lasheen

Elaziz

Elaal

et al. 2016

J Minim Invasive Surg Sci

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“…In open surgery of the abdomen, the trauma of laparotomy wounds is a source of infection or dehiscence and may increase the likelihood of post-operative chest infection, ileus and immobility [30]. The evolution of new minimally invasive approaches, such as Minimally Invasive Surgery (MIS) and Single Incision Laparoscopic Surgery (SILS), allows to perform the surgery by bringing the surgical instruments and endoscope to the surgical site through few or only one small incision, improving the physiological and immuno responses with respect to open surgery [6], and reducing the trauma, without compromising the surgical quality [27,31].…”

Section: Introductionmentioning

confidence: 99%

Dense soft tissue 3D reconstruction refined with super-pixel segmentation for robotic abdominal surgery

et al. 2015

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Purpose: Single Incision Laparoscopic Surgery (SILS) decreases post-operative infections, but introduces limitations in the surgeon's manoeuverability and in the surgical field of view. This work aims at enhancing intraoperative surgical visualization by exploiting the 3D information about the surgical site. An interactive guidance system is proposed wherein the pose of pre-operative tissue models is updated online. A critical process involves the intraoperative acquisition of tissue surfaces. It can be achieved using stereoscopic imaging and 3D reconstruction techniques. This work contributes to this process by proposing new methods for improved dense 3D reconstruction of soft tissues, which allows a more accurate deformation identification and facilitates the registration process.Methods: Two methods for soft tissue 3D reconstruction are proposed: Method 1 follows the traditional approach of the block matching algorithm. Method 2 performs a non-parametric Modified Census Transform to be more robust to illumination variation. The Simple Linear Iterative Clustering (SLIC) super pixel al- gorithm is exploited for disparity refinement by filling holes in the disparity images.Results: The methods were validated using two video datasets from the Hamlyn Centre, achieving an accuracy of 2.95 mm and 1.66 mm respectively. A comparison with ground truth data demonstrated the disparity refinement procedure: (i) increases the number of reconstructed points by up to 43%; (ii) does not a↵ect the accuracy of the 3D reconstructions significantly.Conclusion: Both methods give results that compare favourably with the state-of-the-art methods. The computational time constraints their applicability in realtime, but can be greatly improved by using a GPU implementation.

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“…The longterm impact on oncological endpoints awaits the findings from large ongoing randomised trials. Table 2 Two recent studies [125,126] have shown the definitive advantage of laparoscopic approach in terms of incidence and severity of postoperative surgical-site infection (SSI). Varela et al [125] Postoperative morbidity after laparoscopic approach to the rectum seems to be similar/slightly lower than after open surgery.…”

Section: 7% [Consensus]; Gor A: 857% [Consensus])mentioning

confidence: 99%

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2011

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Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

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Laparoscopic surgery significantly reduces surgical-site infections compared with open surgery

Cited by 153 publications

References 21 publications

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Dense soft tissue 3D reconstruction refined with super-pixel segmentation for robotic abdominal surgery

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

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