Wound complications of laparoscopic vs open colectomy

This study was conducted to determine if laparoscopic colon surgery has changed the incidence of wound complications after colon resection. Eighty-three patients were randomized to undergo either laparoscopic (LCR) or open colon resection (OCR) for cancer at our institution as part of a multicenter...

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Veröffentlicht in:	Surgical endoscopy 2002-10, Vol.16 (10), p.1420-1425
Hauptverfasser:	WINSLOW, E. R, FLESHMAN, J. W, BIRNBAUM, E. H, BRUNT, L. M
Format:	Artikel
Sprache:	eng
Schlagworte:	Adenocarcinoma - surgery Aged Biological and medical sciences Colectomy - methods Colonic Neoplasms - surgery Follow-Up Studies Hernia, Ventral - etiology Humans Laparoscopy - methods Medical sciences Middle Aged Prospective Studies Sigmoid Neoplasms - surgery Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical Wound Infection - epidemiology
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Zusammenfassung:	This study was conducted to determine if laparoscopic colon surgery has changed the incidence of wound complications after colon resection. Eighty-three patients were randomized to undergo either laparoscopic (LCR) or open colon resection (OCR) for cancer at our institution as part of a multicenter trial. Data were tabulated from review of the prospective database and physician records. Thirty-seven patients were randomized to LCR and 46 to OCR. Seven patients in the LCR group were converted to OCR. LCR was performed using a limited midline incision for anastomosis and specimen extraction. Incision length was significantly greater (p
ISSN:	0930-2794 1432-2218
DOI:	10.1007/s00464-002-8837-3