Systematic review of the feasibility of laparoscopic reoperation for early postoperative complications following colorectal surgery. BJS 2017; 104: 337-346.
Published: 15th February 2017
Authors: D. B. Wright, C. E. Koh, M. J. Solomon
Returning to the operating theatre for management of early postoperative complications after colorectal surgery is an important key performance indicator. Laparoscopic surgery has benefits that may be useful in surgical emergencies. This study explored the evidence for the advantages of laparoscopic reoperation.
A systematic review was performed to identify publications reporting the outcomes of laparoscopy as a mode of reoperation for the management of early postoperative complications of colorectal surgery. The main outcomes examined were 30‐day mortality, 30‐day morbidity, length of hospital stay, second reoperation rate,
After screening 3657 citations, ten non‐randomized cohort studies were identified (1137 reoperations). Laparoscopic reoperation was equivalent to or better than open reoperation, with lower rates of 30‐day mortality (0–4·4
Laparoscopic reoperation is feasible in selected patients, with the advantages of improved short‐term outcomes.Read more
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