Short-term outcomes after laparoscopic colorectal surgery in patients with previous abdominal surgery: A systematic review

653 Background: The impact of previous abdominal surgeries on the need for conversion to open surgery and on short-term outcomes during/after laparoscopic colorectal surgery was retrospectively investigated. This retrospective cohort study was conducted from May 2004 through October 2012. This study was conducted at Tokushima University Hospital and Ehime Prefectural Central Hospital. Methods: A total of 145 consecutive patients who had undergone laparoscopic resection of the sigmoid colon and upper rectum were classified as not having previous abdominal surgery (NPAS group, n = 123) or as having previous abdominal surgery (PAS group, n = 22). Short-term outcomes were assessed between the two groups. Results: The population of previous abdominal surgery consisted of 6 appendectomy, 3 gastrectomy for gastric ulcer, 2 nephrectomy, 2 peritonitis and 11 others (2 duplication). There were no significant differences in age, gender, BMI, tumor location, tumor size, Stage, operating time, blood loss and number of lymph node harvest between the two groups. The conversion to open surgery was performed in 1 patient (4.5%) in the PAS group and 6 patients (4.9%) in the NPAS group. The intraoperative inadvertent enterotomy occurred in 1 patient in the NPAS group. There was no difference in postoperative morbility between the two groups. In the NPAS group, anastomotic leakage was observed in 3 cases. Ileus was observed in one case in the NPAS and none in the PAS. Postoperative hospital stay was 14 days in the PAS group and 16 days in the NPAS group. Conclusions: Short-term outcomes following laparoscopic surgery for sigmoid colon and upper rectal cancer with previous abdominal surgery are acceptable.

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Effect of Previous Abdominal Surgery on Outcomes Following Laparoscopic Colorectal Surgery

Diseases of the Colon & Rectum ◽

10.1097/dcr.0b013e31827ba103 ◽

2013 ◽

Vol 56 (3) ◽

pp. 336-342 ◽

Cited By ~ 41

Author(s):

Masashi Yamamoto ◽

Junji Okuda ◽

Keitaro Tanaka ◽

Keisaku Kondo ◽

Keiko Asai ◽

...

Keyword(s):

Colorectal Surgery ◽

Abdominal Surgery ◽

Laparoscopic Colorectal Surgery ◽

Previous Abdominal Surgery

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Laparoscopic Colorectal Surgery in Patients With Previous Abdominal Surgery

Surgical Laparoscopy Endoscopy & Percutaneous Techniques ◽

10.1097/sle.0000000000000470 ◽

2017 ◽

Vol 27 (6) ◽

pp. 434-439 ◽

Cited By ~ 2

Author(s):

Erdinc Kamer ◽

Turan Acar ◽

Fevzi Cengiz ◽

Evren Durak ◽

Mehmet Haciyanli

Keyword(s):

Colorectal Surgery ◽

Abdominal Surgery ◽

Laparoscopic Colorectal Surgery ◽

Previous Abdominal Surgery

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Robotic and laparoscopic liver surgery for colorectal liver metastases: an experience from a German Academic Center

World Journal of Surgical Oncology ◽

10.1186/s12957-020-02113-1 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Mirhasan Rahimli ◽

Aristotelis Perrakis ◽

Vera Schellerer ◽

Andrew Gumbs ◽

Eric Lorenz ◽

...

Keyword(s):

Abdominal Surgery ◽

Minimally Invasive ◽

Liver Surgery ◽

Colorectal Liver Metastases ◽

Survival Rates ◽

Long Term Outcomes ◽

Short Term ◽

Minimally Invasive Liver Surgery ◽

Previous Abdominal Surgery

Abstract Background Minimally invasive liver surgery (MILS) in the treatment of colorectal liver metastases (CRLM) is increasing in incidence. The aim of this work was to present our experience by reporting short-term and long-term outcomes after MILS for CRLM with comparative analysis of laparoscopic (LLS) and robotic liver surgery (RLS). Methods Twenty-five patients with CRLM, who underwent MILS between May 2012 and March 2020, were selected from our retrospective registry of minimally invasive liver surgery (MD-MILS). Thirteen of these patients underwent LLS and 12 RLS. Short-term and long-term outcomes of both groups were analyzed. Results Operating time was significantly longer in the RLS vs. the LLS group (342.0 vs. 200.0 min; p = 0.004). There was no significant difference between the laparoscopic vs. the robotic group regarding length of postoperative stay (8.8 days), measured blood loss (430.4 ml), intraoperative blood transfusion, overall morbidity (20.0%), and liver surgery related morbidity (4%). The mean BMI was 27.3 (range from 19.2 to 44.8) kg/m2. The 30-day mortality was 0%. R0 resection was achieved in all patients (100.0%) in RLS vs. 10 patients (76.9%) in LLS. Major resections were carried out in 32.0% of the cases, and 84.0% of the patients showed intra-abdominal adhesions due to previous abdominal surgery. In 24.0% of cases, the tumor was bilobar, the maximum number of tumors removed was 9, and the largest tumor was 8.5 cm in diameter. The 1-, 3- and 5-year overall survival rates were 84, 56.9, and 48.7%, respectively. The 1- and 3-year overall recurrence-free survival rates were 49.6 and 36.2%, respectively, without significant differences between RLS vs. LLS. Conclusion Minimally invasive liver surgery for CRLM is safe and feasible. Minimally invasive resection of multiple lesions and large tumors is also possible. RLS may help to achieve higher rates of R0 resections. High BMI, previous abdominal surgery, and bilobar tumors are not a barrier for MILS. Laparoscopic and robotic liver resections for CRLM provide similar long-term results which are comparable to open techniques.

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Supervised surgical training and its effect on the short-term outcome in laparoscopic colorectal surgery

Colorectal Disease ◽

10.1111/codi.12266 ◽

2013 ◽

Vol 15 (8) ◽

pp. e483-e487 ◽

Cited By ~ 6

Author(s):

A. Krishna ◽

M. Russell ◽

G. L. Richardson ◽

M. J. F. X. Rickard ◽

A. Keshava

Keyword(s):

Colorectal Surgery ◽

Surgical Training ◽

Laparoscopic Colorectal Surgery ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome

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Systematic review of emergent laparoscopic colorectal surgery for benign and malignant disease

World Journal of Gastroenterology ◽

10.3748/wjg.v20.i45.16956 ◽

2014 ◽

Vol 20 (45) ◽

pp. 16956 ◽

Cited By ~ 24

Author(s):

Manish Chand

Keyword(s):

Systematic Review ◽

Colorectal Surgery ◽

Malignant Disease ◽

Laparoscopic Colorectal Surgery

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The impact of previous open abdominal surgery on the outcome of laparoscopic colorectal surgery

Annals of Medical Research ◽

10.5455/annalsmedres.2020.05.548 ◽

2021 ◽

Vol 28 (12) ◽

pp. 2122

Author(s):

Ismail Eray ◽

Ugur Topal ◽

Orcun Yalav ◽

Kubilay Dalci ◽

Ahmet Saritas ◽

...

Keyword(s):

Colorectal Surgery ◽

Abdominal Surgery ◽

Laparoscopic Colorectal Surgery ◽

Open Abdominal Surgery ◽

The Impact

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Is Laparoscopic Colon Surgery Appropriate in Patients who Have Had Previous Abdominal Surgery?

The American Surgeon ◽

10.1177/000313480907501033 ◽

2009 ◽

Vol 75 (10) ◽

pp. 1015-1019 ◽

Cited By ~ 8

Author(s):

Andrew Barleben ◽

Dhruvil Gandhi ◽

Xuan-Mai Nguyen ◽

Fred Che ◽

Ninh T. Nguyen ◽

...

Keyword(s):

Colorectal Surgery ◽

Abdominal Surgery ◽

Conversion Rate ◽

Laparoscopic Colorectal Surgery ◽

Rectal Surgery ◽

Length Of Hospital Stay ◽

Colon Surgery ◽

Colon And Rectal Surgery ◽

History Of ◽

Laparoscopic Techniques

Laparoscopic techniques in colon surgery reduce postoperative pain, length of hospital stay, and 30-day morbidity when compared with open surgery. The objective of this study was to determine the feasibility of a laparoscopic colectomy in patients who have previously undergone abdominal surgery. We performed a retrospective, single-institution review of laparoscopic colorectal procedures for benign or malignant pathology between October 2002 and September 2008. Our analysis included 55 patients who previously had laparoscopic, open, or a combination of procedures and subsequently underwent laparoscopic colorectal surgery. We observed a 14.5 per cent conversion rate (n = 8). Of the patients who had previous open procedures (n = 48 [87.3%]), the conversion rate was 16.7 per cent. Only one patient (12.5%) who had a history of only laparoscopic surgery required conversion. The highest conversion rate in our study was from patients who underwent a left colectomy (60%, n = 3/5), which was the only statistically significant factor found for conversion. Since the emergence of laparoscopy, use in colon and rectal surgery nationwide has been poor as a result of multiple factors, including a frequent history of abdominal surgery. Our experience shows that laparoscopic colorectal surgery in patients with prior intra-abdominal surgery can be completed with an acceptable conversion rate.

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