Systematic review of the feasibility of laparoscopic reoperation for early postoperative complications following colorectal surgery

Wright, Donald J.; Koh, Cherry; Solomon, Michael J.

doi:10.1002/bjs.10469

Cited by 29 publications

(19 citation statements)

References 34 publications

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“…Although the utilization of laparoscopic approaches in emergency colorectal surgery is slowly increasing, 6,13,14 there remains a distinct resistance and hesitation. Studies focusing on the safety and feasibility of emergency laparoscopic colectomy have been reported for over a decade, including two systematic reviews by Harji et al 3 and Chand et al 4 .…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Hand-Assisted Laparoscopic Surgery for Colorectal Disease in an Emergency Setting

Kim

Cheng

Lee

et al. 2017

J Minim Invasive Surg

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Purpose: Laparoscopic surgery is accepted as a standard alternative to open procedures in the management of both benign and malignant colorectal disease. However, the safety and efficacy of the laparoscopic approach for emergency colorectal surgery has not been established. Hand-assisted laparoscopic (HAL) surgery might be a suitable option for colectomy in an emergency setting. The aim of this study was to report our experience of emergency HAL colectomy. Methods:This was a retrospective review of consecutive colorectal emergency cases that were treated using HAL colectomy. Patient demographics, indications for surgery, operative details, and postoperative complications were examined.Results: From March 2015 to April 2016, 18 patients underwent emergency HAL colectomy for complicated colorectal disease. Eight patients (44%) had an obstruction that required intraoperative decompression procedure. Sixteen patients (89%) had a perforation (five of which were sealed perforations involving large abscesses and inflammatory changes). Eight patients underwent sigmoidectomy, four underwent anterior resection, one underwent low anterior resection, two underwent left hemicolectomy, and three underwent Hartmann's procedure. There were two instances of open conversion (11%). The median duration of surgery was 178 minutes. The median time to bowel function recovery and median postoperative stay were 3 days and 10 days, respectively. The postoperative complication rate associated with the operation was 33% (6/18). There was one postoperative mortality. Conclusion:For the experienced surgeon, HAL can be a reasonable option for emergency colorectal surgery.

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Section: Discussionmentioning

confidence: 99%

Outcomes of Hand-Assisted Laparoscopic Surgery for Colorectal Disease in an Emergency Setting

Kim

Cheng

Lee

et al. 2017

J Minim Invasive Surg

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“…Laparoscopy enables the surgeon to assess the peritoneal cavity and the status of the anastomosis [16,28] with faster recovery in selected patients [29] . However, there is no clear evidence of superiority to open surgery [30] . Among the methods used to manage AL, diverting stoma with peritoneal lavage with or without intraabdominal drain placement was the most common method of managing AL [30] .…”

Section: Anastomotic Leakmentioning

confidence: 99%

“…However, there is no clear evidence of superiority to open surgery [30] . Among the methods used to manage AL, diverting stoma with peritoneal lavage with or without intraabdominal drain placement was the most common method of managing AL [30] . Small leaks (< 30% of the circumference) could be treated with primary repair of the anastomosis with a defunctioning stoma, while in case of severe peritoneal contamination with large AL or colonic ischaemia, a Hartmann's procedure is recommended [8] .…”

Section: Anastomotic Leakmentioning

confidence: 99%

“…Kim et al [45] defined early postoperative small bowel obstruction (SBO), which differs from the POI in that it occurs secondary to early adhesions, lasting less than 7 days and usually resolved conservatively. In a systematic review of postoperative complications after colorectal surgery, early postoperative SBO was the second commonest cause of reoperation, which can be managed with a laparoscopic approach [30] . Often, the cause of intestinal obstruction is adhesions or an internal hernia [8] .…”

Section: Postoperative Ileus Intestinal Obstructionmentioning

confidence: 99%

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Complications of laparoscopic rectal cancer surgery

Climent¹,

Martin²

2018

MIS

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“…Despite the success of modern abdominal surgery, the risk of the early postoperative intra-abdominal complications after urgent and planned operations on the abdominal cavity organs remains high. The frequency of repeated interventions performed because of the early postoperative intra-abdominal complications is from 0.5% to 8.6% according to the data of different authors [1][2][3][4] and lethality (mortality) in case of repeated interventions is according to the data of a number of authors observed from 40% to 80%.…”

Section: Introductionmentioning

confidence: 99%

The Evaluation of Electrophysiological Methods of Research in Diagnosis and Prediction of Early Intra-abdominal Complications after Colon Surgery

Miminoshvili¹,

Holubytskyi²,

Миминошвили³

2018

J Med Diagn Meth

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Objective: To assess the effectiveness of electrophysiological methods of research in diagnosis and prediction of early intra-abdominal complications after colon surgery. Background: The main reason of unsatisfactory results of early intra-abdominal complications treatment after colon surgery is delay in diagnosis of these complications and late repeated surgery. Methods: Electrophysiological method used in study includes complex installation of sensor system that registers simultaneously a number of physiological parameters. Results: With a favorable course in the early postoperative period there was a gradual decrease in the sensitivity threshold of the colonic wall according to current strength from 19 ± 4.2 to 9 ± 3.6 mA on the third day after the surgical intervention. If there were intra-abdominal complications in the early postoperative period, the threshold indices varied from 14 ± 2.9 to 24 ± 3.7 mA, and subsequently it happened that they ceased to be detected. This gives us the opportunity to start active methods of detoxification in the treatment group on 18-22 hours earlier than in the control group of patients. In addition, the periods of repeated lavage of the abdominal cavity decreased by (20.0 ± 0.3) hours in comparison with the control group. Mortality in the control group is 28.1%, in the treatment group-19%. Conclusions: Comparing the results of treatment of the main and control groups, it should be noted that the early intra-abdominal complications are diagnosed much earlier in the treatment group of patients, primarily due to the results of electrophysiological research methods.

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Systematic review of the feasibility of laparoscopic reoperation for early postoperative complications following colorectal surgery

Abstract: Laparoscopic reoperation is feasible in selected patients, with the advantages of improved short-term outcomes.

Cited by 29 publications

References 34 publications

Outcomes of Hand-Assisted Laparoscopic Surgery for Colorectal Disease in an Emergency Setting

Outcomes of Hand-Assisted Laparoscopic Surgery for Colorectal Disease in an Emergency Setting

Complications of laparoscopic rectal cancer surgery

The Evaluation of Electrophysiological Methods of Research in Diagnosis and Prediction of Early Intra-abdominal Complications after Colon Surgery

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