title: Systematic review of emergent laparoscopic colorectal surgery for benign and malignant disease.
abstract: Laparoscopic surgery has become well established in the management of both and malignant colorectal disease. The last decade has seen increasing numbers of surgeons trained to a high standard in minimally-invasive surgery. However there has not been the same enthusiasm for the use of laparoscopy in emergency colorectal surgery. There is a perception that emergent surgery is technically more difficult and may lead to worse outcomes. The present review aims to provide a comprehensive and critical appraisal of the available literature on the use of laparoscopic colorectal surgery (LCS) in the emergency setting. The literature is broadly divided by the underlying pathology; that is, inflammatory bowel disease, diverticulitis and malignant obstruction. There were no randomized trials and the majority of the studies were case-matched series or comparative studies. The overall trend was that LCS is associated with shorter hospital stay, par or fewer complications but an increased operating time.Emergency LCS can be safely undertaken for both benign and malignant disease providing there is appropriate patient selection, the surgeon is adequately experienced and there are sufficient resources to allow for a potentially more complex operation.
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Manish
authors.initials: M
authors.lastname: Chand
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Muhammed R S
authors.initials: MR
authors.lastname: Siddiqui
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Ashish
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Shahnawaz
authors.initials: S
authors.lastname: Rasheed
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Paris
authors.initials: P
authors.lastname: Tekkis
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Amjad
authors.initials: A
authors.lastname: Parvaiz
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Alex H
authors.initials: AH
authors.lastname: Mirnezami
authors.affiliation: Manish Chand, Muhammed RS Siddiqui, Shahnawaz Rasheed, Paris Tekkis, Department of Surgery, Royal Marsden Hospital, Sutton SM2 5PT, United Kingdom.
authors.forename: Tahseen
authors.initials: T
authors.lastname: Qureshi
mesh_terms: D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003108:Colonic Diseases / Q000175:diagnosis / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D004630:Emergencies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology; D012002:Rectal Diseases / Q000175:diagnosis / Q000601:surgery*; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Colorectal cancer; Colorectal disease; Emergency surgery; Inflammatory bowel disease; Laparoscopic surgery