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Vol. 28, No. 1, 2011
Issue release date: March 2011
Dig Surg 2011;28:22–28

Laparoscopic Colorectal Surgery in Patients with Prior Abdominal Surgery

Fukunaga Y. · Kameyama M. · Kawasaki M. · Takemura M. · Fujiwara Y.
aDepartment of Surgery, Bell-land General Hospital, Sakai, bDepartment of Gastroenterological Surgery, Osaka City General Hospital, and cDepartment of Surgery, Osaka City Juso Hospital, Osaka, Japan

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Purpose: We retrospectively investigated the impact of prior abdominal surgery on the outcome of laparoscopic colorectal surgery. Patients: Among 607 colorectal cancer patients who underwent laparoscopic surgery, 192 patients had previously undergone abdominal surgery (S group) and 415 had not (non-S group). Results: The percentage of female patients was higher in the S group than in the non-S group. The incidence of conversion to open surgery was higher in the S group (5.2%, 10/192) than in the non-S group (2.6%, 11/415), but the difference was not significant (p = 0.108). Although the mean operating time and estimated blood loss were similar in the two groups, right and transverse colectomy after prior gastrectomy and ipsilateral colectomy after prior colectomy took longer and were associated with greater blood loss. The morbidity rates of the two groups were similar (S group: 15.6%, 30/192; non-S group: 14.5%, 60/415). There were 5 intraoperative small-bowel injuries or postoperative small-bowel perforations in the S group, especially in the patients with prior gastrointestinal-tract surgery. Conclusion: Our findings suggest that there is no reason to avoid laparoscopic procedures in most patients with prior abdominal surgery despite a higher conversion rate, but caution is warranted in patients who have undergone major gastrointestinal-tract surgery.

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  1. Jacobs M, Verdeja JC, Goldstein HS: Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1991;1:144–150.
  2. Lacy AM, Garcia-Valdecasas JC, Delgado S, Castells A, Taura P, Pique JM, Visa J: Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomized trial. Lancet 2002;359:2224–2229.
  3. Leung KL, Kwok SPY, Lam SCW, Lee JFY, Yiu RYC, Ng SSM, Lai PBS: Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet 2004;363:1187–1192.
  4. Nelson H, Sargent DJ, Wieand HS, Fleshman J, Anvari M, Stryker SJ, Beart RW, Hellinger M, Flanagan R, Peters W, Ota D: A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350:2050–2059.
  5. Milsom JW, Bohm B, Hammerhofer KA, Fazio V, Steiger E, Elson P: A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg 1998;187:46–57.
  6. Chapman AE, Levitt MD, Hewett P, Woods R, Sheiner H, Maddem GJ: Laparoscopic-assisted resection of colorectal malignancies. A systematic review. Ann Surg 2001;234:590–606.
  7. Weeks JC, Nelson H, Gelber S, Sargent D, Schroeder G: Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs. open colectomy for colon cancer. A randomized trial. JAMA 2002;287:321–328.
  8. Braga M, Vignali A, Gianotti L, Zuliani W, Radaelli G, Gruarin P, Dellabona P, Di Cario V: Laparosco versus open colorectal surgery. A randomized trial on short-term outcome. Ann Surg 2002;236:759–767.
  9. Kitano S, Inomata M, Yoshimura K, Moriya Y: Randomized controlled trial to evaluate laparoscopic surgery for colorectal cancer: Japanese Clinical Oncology Group Study JCOG0404. Jpn J Clin Oncol 2005;35:475–477.
  10. Fukunaga Y, Higashino M, Tanimura S, Takemura S, Osugi H: Laparoscopic colorectal surgery for neoplasm. A large series by a single surgeon. Surg Endosc 2008;22:1452–1458.
  11. Gonzalez IA, Malagon AM, Fernandez EML, Duran JA, Luis HD, Pallares AC: Impact of previous abdominal surgery on colorectal laparoscopy results: A comparative clinical study. Surg Laparosc Endosc Percutan Tech 2006;16:8–11.
  12. Karayiannakis AJ, Polychronidis A, Perente S, Botaitis S, Simopoulos C: Laparoscopic cholecystectomy in patients with upper or lower abdominal surgery. Surg Endosc 2004;18:97–101.
  13. Offodile AC, Lee SW, Yoo J, Whelan RL, Moradi D, Baxter R, Amell TD, Nasar A, Sonoda T, Milson JW, Feingold DL: Does prior abdominal surgery influence conversion rates and outcomes of laparoscopic right colectomy in patients with neoplasia? Dis Colon Rectum 2008;51:1669–1674.
  14. Lopez CB, Ruggiero R, Poves I, Bettonica C, Procaccini E, Corsale I, Mandato M, De Luca L: laparoscopic procedures in patients who have previously undergone laparotomic operations. Minerva Chir 2003;38:53–56.

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