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Validity of laparoscopic surgery for lower gastrointestinal perforations.
Kudou, Kensuke; Aoyama, Ryoko; Ishihara, Kento; Kawashita, Tomohide; Kajiwara, Shuhei; Motomura, Takashi; Yukaya, Takafumi; Nakanoko, Tomonori; Kuroda, Yosuke; Okamoto, Masahiro; Koga, Tadashi; Yamashita, Yo-Ichi; Oki, Eiji; Yoshizumi, Tomoharu.
Afiliación
  • Kudou K; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Aoyama R; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Ishihara K; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Kawashita T; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Kajiwara S; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Motomura T; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Yukaya T; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Nakanoko T; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Kuroda Y; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Okamoto M; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Koga T; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Yamashita YI; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Oki E; Department of Surgery, Iizuka Hospital, Fukuoka, Japan.
  • Yoshizumi T; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Asian J Endosc Surg ; 17(4): e13373, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39155075
ABSTRACT

INTRODUCTION:

This study aimed to clarify the validity of laparoscopic surgery for lower gastrointestinal perforation by comparing the clinical outcomes of laparoscopic and open emergency surgery.

METHODS:

We reviewed the data of patients who underwent surgery for lower gastrointestinal perforation. Patients were categorized into two groups the laparoscopic group who underwent laparoscopic surgery, and the open group who underwent laparotomy. Clinical and operative outcomes between the two groups were evaluated.

RESULTS:

A total of 219 patients were included in the study. There were 66 and 153 patients with small bowel and colorectal perforations, respectively. The median operative time in the laparoscopic group was shorter than that in the open group (126 min vs. 146 min, p = .049). The mean amount of intraoperative blood loss was significantly lower in the laparoscopic group (50.4 mL vs. 400.1 mL, p < .001). The incidence of postoperative complication was higher in the open group (20.0% vs. 66.5%, p < .001), especially wound infection (0% vs. 26.3%, p = .002). Median hospital stays were 14 days and 24 days in the laparoscopic and open groups, respectively (p < .001). In the laparoscopic group, hospital mortality was 0%.

CONCLUSIONS:

The laparoscopic approach for small bowel and colorectal perforation in an emergency setting is a safe procedure in carefully selected patients and may contribute to decreased intraoperative blood loss, shortened hospital stay, and decreased incidence of postoperative complications, especially wound infection.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Perforación Intestinal Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Asian J Endosc Surg Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Perforación Intestinal Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Asian J Endosc Surg Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón