Reoperative Surgery After a Primary Laparoscopic Approach

Relaparoscopy for management of postoperative complications following colorectal surgery: ten years experience in a single center

“…RL has been particularly described for management of complications after laparoscopic cholecystectomy, gastric, and gynecologic surgery [26][27][28]. On the basis of the increasing laparoscopic experience in colorectal surgery, there is now an expanded role for a laparoscopic approach to postoperative complications [13,29]. O'Riordan et al [16] recently reported their series of seven patients who underwent reoperation for complications of colorectal minimally invasive surgery and five of them were successfully managed by RL, without need for conversion or further intervention.…”

“…Current evidence demonstrates that laparoscopy can be successfully used in the emergency treatment of peritonitis from different conditions, such as complicated diverticulitis, acute appendicitis, perforated peptic ulcer, or gynecological disease [25]. It has the great advantage of accessibility to all the abdominal regions, allowing a careful examination of abdominal viscera and a thorough washing of the peritoneal cavity, including deep abdominal areas [13,36]. In our opinion, these advantages, associated with earlier RL, represent the most important factor that may reduce the peritonitis-related mortality.…”

“…It is clear that most benefits of the minimally invasive approach are lost if reoperation is performed by open approach. Laparoscopy has been used for management of complications after laparoscopic surgery [13,14], but there are few reports about this approach in colorectal surgery [15,16]. The aim of this paper is to report our experience in relaparoscopy (RL) for treatment of early complications following laparoscopic colorectal surgery.…”