Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review
Introduction: Re-operative laparoscopic colorectal surgery is becoming increasingly common. It can be a challenging procedure, but its benefits can outweigh the associated risks. Methods: A systematic review of the literature reporting re-operative laparoscopic surgery was carried out. Retrospective...
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| Format: | Article |
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MDPI AG
2021-04-01
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| Series: | Journal of Clinical Medicine |
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| author | Constantine Halkias Athanasios Zoikas Zoe Garoufalia Michalis K. Konstantinidis Argyrios Ioannidis Steven Wexner |
| author_facet | Constantine Halkias Athanasios Zoikas Zoe Garoufalia Michalis K. Konstantinidis Argyrios Ioannidis Steven Wexner |
| author_sort | Constantine Halkias |
| collection | DOAJ |
| description | Introduction: Re-operative laparoscopic colorectal surgery is becoming increasingly common. It can be a challenging procedure, but its benefits can outweigh the associated risks. Methods: A systematic review of the literature reporting re-operative laparoscopic surgery was carried out. Retrospective and prospective cohort studies and case series were included, with case reports being excluded. Results: Seventeen articles dated from 2007 to 2020 were included in the systematic review. In total, 1555 patients were identified. Five hundred and seventy-four of them had a laparoscopic procedure and 981 an open re-operation. One hundred and eighty-three women had a laparoscopic operation. The median age ranged from to 44.9 years to 68.7 years. In seven studies, the indication of the index operation was malignancy, one study regarded re-laparoscopy for excision of lateral pelvic lymph nodes, and one study looked at redo surgery of ileal J pouch anal anastomosis. There were 16 mortalities in the laparoscopic arm (2.78%) and 93 (9.4%) in the open surgery arm. One hundred and thirty-seven morbidities were recorded in the open arm and 102 in the laparoscopic arm. Thirty-nine conversions to open occurred. The median length of stay ranged from 5.8 days to 19 days in laparoscopy and 9.7 to 34 days in the open surgery arm. Conclusions: Re-operative laparoscopic colorectal surgery is safe when performed by experienced hands. The management of complications, recurrence of malignancy, and lateral pelvic floor dissection can be safely performed. The complication rate is low, with conversion to open procedures being relatively uncommon. |
| first_indexed | 2024-03-10T12:40:19Z |
| format | Article |
| id | doaj.art-204a27f311a842d193253866c6498889 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T12:40:19Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-204a27f311a842d193253866c64988892023-11-21T13:53:02ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01107144710.3390/jcm10071447Re-Operative Laparoscopic Colorectal Surgery: A Systematic ReviewConstantine Halkias0Athanasios Zoikas1Zoe Garoufalia2Michalis K. Konstantinidis3Argyrios Ioannidis4Steven Wexner5General Surgery Department, Brighton and Sussex University Hospitals, Brighton BN2 5BE, UKThe 2nd Department of Surgery, Sismanoglio General Hospital of Attica, 15126 Athens, GreeceThe 2nd Department of Propaedeutic Surgery, Laiko General Hospital, 11527 Athens, GreeceDepartment of General, Laparoscopic, Oncologic and Robotic Surgery, Athens Medical Center, 15125 Athens, GreeceDepartment of General, Laparoscopic, Oncologic and Robotic Surgery, Athens Medical Center, 15125 Athens, GreeceDigestive Disease Center, Cleveland Clinic Florida, Weston, FL 33331, USAIntroduction: Re-operative laparoscopic colorectal surgery is becoming increasingly common. It can be a challenging procedure, but its benefits can outweigh the associated risks. Methods: A systematic review of the literature reporting re-operative laparoscopic surgery was carried out. Retrospective and prospective cohort studies and case series were included, with case reports being excluded. Results: Seventeen articles dated from 2007 to 2020 were included in the systematic review. In total, 1555 patients were identified. Five hundred and seventy-four of them had a laparoscopic procedure and 981 an open re-operation. One hundred and eighty-three women had a laparoscopic operation. The median age ranged from to 44.9 years to 68.7 years. In seven studies, the indication of the index operation was malignancy, one study regarded re-laparoscopy for excision of lateral pelvic lymph nodes, and one study looked at redo surgery of ileal J pouch anal anastomosis. There were 16 mortalities in the laparoscopic arm (2.78%) and 93 (9.4%) in the open surgery arm. One hundred and thirty-seven morbidities were recorded in the open arm and 102 in the laparoscopic arm. Thirty-nine conversions to open occurred. The median length of stay ranged from 5.8 days to 19 days in laparoscopy and 9.7 to 34 days in the open surgery arm. Conclusions: Re-operative laparoscopic colorectal surgery is safe when performed by experienced hands. The management of complications, recurrence of malignancy, and lateral pelvic floor dissection can be safely performed. The complication rate is low, with conversion to open procedures being relatively uncommon.https://www.mdpi.com/2077-0383/10/7/1447re-laparoscopyre-interventioncolorectal surgery |
| spellingShingle | Constantine Halkias Athanasios Zoikas Zoe Garoufalia Michalis K. Konstantinidis Argyrios Ioannidis Steven Wexner Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review Journal of Clinical Medicine re-laparoscopy re-intervention colorectal surgery |
| title | Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review |
| title_full | Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review |
| title_fullStr | Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review |
| title_full_unstemmed | Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review |
| title_short | Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review |
| title_sort | re operative laparoscopic colorectal surgery a systematic review |
| topic | re-laparoscopy re-intervention colorectal surgery |
| url | https://www.mdpi.com/2077-0383/10/7/1447 |
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