Is Laparoscopic Colon Surgery Appropriate in Patients who Have Had Previous Abdominal Surgery?
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- Andrew Barleben
- Department of Surgery, University of California, Irvine, Orange, California
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- Dhruvil Gandhi
- Department of Surgery, University of California, Irvine, Orange, California
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- Xuan-Mai Nguyen
- Department of Surgery, University of California, Irvine, Orange, California
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- Fred Che
- Department of Surgery, University of California, Irvine, Orange, California
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- Ninh T. Nguyen
- Department of Surgery, University of California, Irvine, Orange, California
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- Steven Mills
- Department of Surgery, University of California, Irvine, Orange, California
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- Michael J. Stamos
- Department of Surgery, University of California, Irvine, Orange, California
書誌事項
- 公開日
- 2009-10
- 権利情報
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- https://journals.sagepub.com/page/policies/text-and-data-mining-license
- DOI
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- 10.1177/000313480907501033
- 公開者
- SAGE Publications
この論文をさがす
説明
<jats:p> 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. </jats:p>
収録刊行物
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- The American Surgeon™
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The American Surgeon™ 75 (10), 1015-1019, 2009-10
SAGE Publications
