Impact of previous abdominal surgery on colorectal laparoscopy results: a comparative clinical study.
To assess the results of laparoscopic colorectal surgery in patients who have previously undergone abdominal surgery. Between November 2002 and June 2004, 86 patients underwent laparoscopic surgery for colorectal disease at our hospital. Patients were divided into 2 groups depending on whether they had previously undergone abdominal surgery (previous surgery group, n = 27) or not (nonprevious surgery group, n = 59). Data were prospectively collected for statistical analyses of demographic, clinical, and histologic variables. Groups were comparable in age, body mass index, American Society of Anesthesiologists score, diagnosis, technique performed, and tumor size and distance to anal verge. There was no difference in perioperative complication rates. A higher conversion rate was found in the previous surgery group (26.1% vs. 5.1%, P = 0.02). In patients with tumor diseases, resection evaluations were no different regarding specimen length, distal and radial resection margins, or number of lymph nodes harvested. Laparoscopic colorectal surgery has proved to be a reliable technique for patients who have previously undergone abdominal surgery, its results comparable to those obtained with patients who have not.
Department of Gastrointestinal Surgery, Hospital Universitario de Canarias (HUC), Canary Islands, Spain. ivanhuc@hispavista.com
Iván
I
Arteaga González
Antonio
A
Martín Malagón
Eudaldo M
EM
López-Tomassetti Fernández
Javier
J
Arranz Durán
Hermógenes
H
Díaz Luis
Angel
A
Carrillo Pallares
D000368:Aged; D003082:Colectomy; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D000267:Tissue Adhesions / Q000209:etiology