The influence of prior abdominal operations on conversion and complication rates in laparoscopic colorectal surgery
A history of a prior abdominal operation is common among patients presenting for laparoscopic colorectal surgery, and its impact on conversion and complication rates has been insufficiently studied. This study compares the conversion rates of patients with and without a prior abdominal operation (PA...
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| Veröffentlicht in: | Journal of the Society of Laparoendoscopic Surgeons 2006-04, Vol.10 (2), p.169-175 |
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| creator | Franko, Jan O'Connell, Brendan G Mehall, John R Harper, Steven G Nejman, Joseph H Zebley, D Mark Fassler, Steven A |
| description | A history of a prior abdominal operation is common among patients presenting for laparoscopic colorectal surgery, and its impact on conversion and complication rates has been insufficiently studied. This study compares the conversion rates of patients with and without a prior abdominal operation (PAO).
We analyzed 1000 consecutive laparoscopic colorectal resection cases.
Complete data on past surgical history were available on 820 of 1000 patients. The overall conversion rate was 14.8% (122/820). A history of PAO was present in 347 patients (42.3%). These patients experienced a higher conversion rate compared with non-PAO patients (68/347, 19.6% versus 54/473, 11.4%; P < 0.001; OR 1.9). Patients with PAO had a significantly higher rate of inadvertent enterotomy (5/347, 1.4% vs. 1/473, 0.2%; P = 0.04; OR 6.9), a higher incidence of postoperative ileus (23/347, 6.6% vs 14/473% 3.0; P = 0.012; OR 2.3), and higher reoperative rates (8/347, 2.3% vs 1/473, 0.2%; P = 0.006; OR 11.1). The incidence of other complications and mortality (total 6/820, 0.7%) was similar regardless of PAO status.
Having a prior abdominal operation represents a risk factor for conversion in laparoscopic colon and rectal surgery. The incidence of a successfully completed laparoscopic operation, however, remains high in previously operated on patients. |
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We analyzed 1000 consecutive laparoscopic colorectal resection cases.
Complete data on past surgical history were available on 820 of 1000 patients. The overall conversion rate was 14.8% (122/820). A history of PAO was present in 347 patients (42.3%). These patients experienced a higher conversion rate compared with non-PAO patients (68/347, 19.6% versus 54/473, 11.4%; P < 0.001; OR 1.9). Patients with PAO had a significantly higher rate of inadvertent enterotomy (5/347, 1.4% vs. 1/473, 0.2%; P = 0.04; OR 6.9), a higher incidence of postoperative ileus (23/347, 6.6% vs 14/473% 3.0; P = 0.012; OR 2.3), and higher reoperative rates (8/347, 2.3% vs 1/473, 0.2%; P = 0.006; OR 11.1). The incidence of other complications and mortality (total 6/820, 0.7%) was similar regardless of PAO status.
Having a prior abdominal operation represents a risk factor for conversion in laparoscopic colon and rectal surgery. The incidence of a successfully completed laparoscopic operation, however, remains high in previously operated on patients.</description><identifier>ISSN: 1086-8089</identifier><identifier>EISSN: 1938-3797</identifier><identifier>PMID: 16882414</identifier><language>eng</language><publisher>United States: Society of Laparoendoscopic Surgeons</publisher><subject>Colonic Diseases - complications ; Colonic Diseases - surgery ; Female ; Humans ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Male ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Rectal Diseases - complications ; Rectal Diseases - surgery ; Risk Factors ; Scientific Papers</subject><ispartof>Journal of the Society of Laparoendoscopic Surgeons, 2006-04, Vol.10 (2), p.169-175</ispartof><rights>2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. 2006 Society of Laparoendoscopic Surgeons, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016125/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016125/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16882414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Franko, Jan</creatorcontrib><creatorcontrib>O'Connell, Brendan G</creatorcontrib><creatorcontrib>Mehall, John R</creatorcontrib><creatorcontrib>Harper, Steven G</creatorcontrib><creatorcontrib>Nejman, Joseph H</creatorcontrib><creatorcontrib>Zebley, D Mark</creatorcontrib><creatorcontrib>Fassler, Steven A</creatorcontrib><title>The influence of prior abdominal operations on conversion and complication rates in laparoscopic colorectal surgery</title><title>Journal of the Society of Laparoendoscopic Surgeons</title><addtitle>JSLS</addtitle><description>A history of a prior abdominal operation is common among patients presenting for laparoscopic colorectal surgery, and its impact on conversion and complication rates has been insufficiently studied. This study compares the conversion rates of patients with and without a prior abdominal operation (PAO).
We analyzed 1000 consecutive laparoscopic colorectal resection cases.
Complete data on past surgical history were available on 820 of 1000 patients. The overall conversion rate was 14.8% (122/820). A history of PAO was present in 347 patients (42.3%). These patients experienced a higher conversion rate compared with non-PAO patients (68/347, 19.6% versus 54/473, 11.4%; P < 0.001; OR 1.9). Patients with PAO had a significantly higher rate of inadvertent enterotomy (5/347, 1.4% vs. 1/473, 0.2%; P = 0.04; OR 6.9), a higher incidence of postoperative ileus (23/347, 6.6% vs 14/473% 3.0; P = 0.012; OR 2.3), and higher reoperative rates (8/347, 2.3% vs 1/473, 0.2%; P = 0.006; OR 11.1). The incidence of other complications and mortality (total 6/820, 0.7%) was similar regardless of PAO status.
Having a prior abdominal operation represents a risk factor for conversion in laparoscopic colon and rectal surgery. The incidence of a successfully completed laparoscopic operation, however, remains high in previously operated on patients.</description><subject>Colonic Diseases - complications</subject><subject>Colonic Diseases - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Rectal Diseases - complications</subject><subject>Rectal Diseases - surgery</subject><subject>Risk Factors</subject><subject>Scientific Papers</subject><issn>1086-8089</issn><issn>1938-3797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE9LxDAQxYsorq5-BcnJWyFpmya5CLL4Dxa8rOeSpNPdSJrEpF3Yb2_QVfQ0M7w3v8fMSXFBRM3Lmgl2mnvM25JjLhbFZUrvGDe0wvS8WJCW86ohzUWRNjtAxg12BqcB-QGFaHxEUvV-NE5a5ANEORnvEvIOae_2EFMekXR9Hsdgjf7SUbZByjBkZZDRJ-2D0dlifQQ9ZVSa4xbi4ao4G6RNcH2sy-Lt8WGzei7Xr08vq_t1GQgTU6nxQAinhOta1FITSjElwGAQFa2IwoPESvGB9hwrED1RNK8poLoXTcMYqZfF3Tc3zGqEXoOborRdPnCU8dB5abr_ijO7buv3XY1JSyqaAbdHQPQfM6SpG03SYK104OfUtbwVgjKcjTd_k34jfv5cfwJj-37K</recordid><startdate>200604</startdate><enddate>200604</enddate><creator>Franko, Jan</creator><creator>O'Connell, Brendan G</creator><creator>Mehall, John R</creator><creator>Harper, Steven G</creator><creator>Nejman, Joseph H</creator><creator>Zebley, D Mark</creator><creator>Fassler, Steven A</creator><general>Society of Laparoendoscopic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200604</creationdate><title>The influence of prior abdominal operations on conversion and complication rates in laparoscopic colorectal surgery</title><author>Franko, Jan ; O'Connell, Brendan G ; Mehall, John R ; Harper, Steven G ; Nejman, Joseph H ; Zebley, D Mark ; Fassler, Steven A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p179t-c0f118518c393ac155051e7ef92521b0fa0bb8f5d80be9d1b5179be5cd9447713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Colonic Diseases - complications</topic><topic>Colonic Diseases - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Rectal Diseases - complications</topic><topic>Rectal Diseases - surgery</topic><topic>Risk Factors</topic><topic>Scientific Papers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Franko, Jan</creatorcontrib><creatorcontrib>O'Connell, Brendan G</creatorcontrib><creatorcontrib>Mehall, John R</creatorcontrib><creatorcontrib>Harper, Steven G</creatorcontrib><creatorcontrib>Nejman, Joseph H</creatorcontrib><creatorcontrib>Zebley, D Mark</creatorcontrib><creatorcontrib>Fassler, Steven A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the Society of Laparoendoscopic Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Franko, Jan</au><au>O'Connell, Brendan G</au><au>Mehall, John R</au><au>Harper, Steven G</au><au>Nejman, Joseph H</au><au>Zebley, D Mark</au><au>Fassler, Steven A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of prior abdominal operations on conversion and complication rates in laparoscopic colorectal surgery</atitle><jtitle>Journal of the Society of Laparoendoscopic Surgeons</jtitle><addtitle>JSLS</addtitle><date>2006-04</date><risdate>2006</risdate><volume>10</volume><issue>2</issue><spage>169</spage><epage>175</epage><pages>169-175</pages><issn>1086-8089</issn><eissn>1938-3797</eissn><abstract>A history of a prior abdominal operation is common among patients presenting for laparoscopic colorectal surgery, and its impact on conversion and complication rates has been insufficiently studied. This study compares the conversion rates of patients with and without a prior abdominal operation (PAO).
We analyzed 1000 consecutive laparoscopic colorectal resection cases.
Complete data on past surgical history were available on 820 of 1000 patients. The overall conversion rate was 14.8% (122/820). A history of PAO was present in 347 patients (42.3%). These patients experienced a higher conversion rate compared with non-PAO patients (68/347, 19.6% versus 54/473, 11.4%; P < 0.001; OR 1.9). Patients with PAO had a significantly higher rate of inadvertent enterotomy (5/347, 1.4% vs. 1/473, 0.2%; P = 0.04; OR 6.9), a higher incidence of postoperative ileus (23/347, 6.6% vs 14/473% 3.0; P = 0.012; OR 2.3), and higher reoperative rates (8/347, 2.3% vs 1/473, 0.2%; P = 0.006; OR 11.1). The incidence of other complications and mortality (total 6/820, 0.7%) was similar regardless of PAO status.
Having a prior abdominal operation represents a risk factor for conversion in laparoscopic colon and rectal surgery. The incidence of a successfully completed laparoscopic operation, however, remains high in previously operated on patients.</abstract><cop>United States</cop><pub>Society of Laparoendoscopic Surgeons</pub><pmid>16882414</pmid><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the Society of Laparoendoscopic Surgeons, 2006-04, Vol.10 (2), p.169-175 |
| issn | 1086-8089 1938-3797 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Colonic Diseases - complications Colonic Diseases - surgery Female Humans Laparoscopy - adverse effects Laparoscopy - methods Male Postoperative Complications - epidemiology Postoperative Complications - etiology Rectal Diseases - complications Rectal Diseases - surgery Risk Factors Scientific Papers |
| title | The influence of prior abdominal operations on conversion and complication rates in laparoscopic colorectal surgery |
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