Prior abdominal open surgery does not impair outcomes of laparoscopic colorectal surgery: a case–control study in 367 patients

Abstract

This large case-control study suggests that PAOS does not affect postoperative outcomes. For this reason, a systematic laparoscopic approach in patients with PAOS, even with midline incision, should be considered in colorectal surgery.

Impact of previous abdominal surgery on the outcome of laparoscopic resection for colorectal cancer: a case-control study in 756 patients

“…Furthermore, all these studies included patients with benign diseases, and none of them reported long-term oncologic outcomes [17e23]. Maggiori et al [22] conducted a large case-control study of 367 patients, but only 105 patients (28.6%) were diagnosed with colorectal cancer. To overcome this potential bias, we conducted a large case-control study specially focused on patients with colorectal cancer and excluded patients with previous laparoscopy or appendectomy.…”

Surgical management of IBD—from an open to a laparoscopic approach

“…47,48 Whether a laparoscopic approach should be pro posed in patients with recurrent disease, irrespective of the surgical approach used for the index procedure, remains controversial. Indeed, although we reported that a laparoscopic approach did not impair post operative outcomes in patients who had undergone a prior open procedure, 49 Aytac et al 50 suggested that the benefits of a laparoscopic approach in terms of post operative recovery were not maintained in patients after a midline laparotomy. To date, no study has compared the outcomes of laparoscopic management of recurring Crohn's disease with respect to the approach used for the index procedure.…”

Laparoscopic right colectomy with transvaginal extraction in a patient with prior pancreaticoduodenectomy

“…Widespread intraperitoneal adhesions limit intra-abdominal view and create an inadequate working space. This leads to a longer operation time and higher conversion rate (2,3,5). The type of abdominal incision is also an important factor in the success of the laparoscopic procedure (6).…”

“…There are many studies about the impact of previous abdominal surgery on laparoscopic colorectal procedures (2)(3)(4)(5). Some of them warn surgeons of the increased risk of conversion or even complication rates in the prior surgery groups (2,3). Others, however, concluded that laparoscopic surgery in patients with previous abdominal surgery was safe and did not have any negative effects (4,5).…”

“…Although previous abdominal surgery has historically been considered a contraindication to laparoscopic colectomy because of the potential adhesions, increasing experience has prompted reexamination of whether previous abdominal surgery is truly a valid contraindication to the laparoscopic approach. There are many studies about the impact of previous abdominal surgery on laparoscopic colorectal procedures (2)(3)(4)(5). Some of them warn surgeons of the increased risk of conversion or even complication rates in the prior surgery groups (2,3).…”