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.Full text
You may also be interested in
Oncological outcome after MRI‐based selection for neoadjuvant chemoradiotherapy in the OCUM Rectal Cancer Trial.
Authors: R. Ruppert, T. Junginger, H. Ptok, J. Strassburg, C. A. Maurer, P. Brosi et al.
Notes: Limiting radiotherapy appears safe.
Randomized clinical trial
Randomized clinical trial of elective resection versus observation in diverticulitis with extraluminal air or abscess initially managed conservatively.
Authors: K. You, R. Bendl, C. Taut, R. Sullivan, M. Gachabayov, R. Bergamaschi et al.
Notes: Conservative management appropriate
Authors: E. Duchalais, T. Glyn Mullaney, G. M. Spears, S. R. Kelley, K. Mathis, W. S. Harmsen et al.
Notes: Post‐treatment T stage predicts prognosis
Nationwide trends in the incidence and outcome of patients with gastrointestinal stromal tumour in the imatinib era.
Authors: W. T. A. van der Graaf, R. Tielen, J. J. Bonenkamp, V. Lemmens, R. H. A. Verhoeven, J. H. W. de Wilt et al.
Notes: Surgery improves survival
Prognostic impact of perihepatic lymph node metastases in patients with resectable colorectal liver metastases.
Authors: M. Okuno, C. Goumard, T. Mizuno, S. Kopetz, K. Omichi, C.‐W. D. Tzeng et al.
Notes: Bad sign of advanced disease
Authors: F. Ris, E. Liot, N. C. Buchs, R. Kraus, G. Ismael, V. Belfontali et al.
Notes: Appears to reduce leaks
Novel de novo synthesized phosphate carrier compound ABA‐PEG20k‐Pi20 suppresses collagenase production in Enterococcus faecalis and prevents colonic anastomotic leak in an experimental model.
Authors: M. Wiegerinck, S. K. Hyoju, J. Mao, A. Zaborin, C. Adriaansens, E. Salzman et al.
Notes: Further evidence the microbiome may be important
Systematic review of the influence of socioeconomic deprivation on mortality after colorectal surgery.
Authors: T. E. Poulton, T. Salih, P. Martin, A. Rojas‐Garcia, R. Raine, S. R. Moonesinghe et al.
Notes: Major differences in mortality
Two‐year results of the randomized clinical trial DILALA comparing laparoscopic lavage with resection as treatment for perforated diverticulitis.
Authors: A. Kohl, J. Rosenberg, D. Bock, T. Bisgaard, S. Skullman, A. Thornell et al.
Notes: Laparoscopic lavage still an option
Hyperactive cyclic motor activity in the distal colon after colonic surgery as defined by high‐resolution colonic manometry. BJS 2018; 105: 907-917.
Authors: R. Vather, G. O'Grady, A. Y. Lin, P. Du, C. I. Wells, D. Rowbotham et al.
Notes: May contribute to gut dysfunction
Progress and future direction in the management of advanced colorectal cancer. BJS 2018; 105: 615-617.
Authors: K. G. M. Brown, M. J. Solomon
Authors: S. Yamashita, Y. S. Chun, S. E. Kopetz, J.‐N. Vauthey
Notes: Molecular influences on outcome