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Intraoperative colonoscopy does not worsen the outcomes of laparoscopic colorectal surgery: a case-matched study.
- Source :
-
Surgical endoscopy [Surg Endosc] 2013 Oct; Vol. 27 (10), pp. 3572-6. Date of Electronic Publication: 2013 Mar 22. - Publication Year :
- 2013
-
Abstract
- Background: Intraoperative colonoscopy is sometimes needed as an adjunct to colorectal surgery. When it is performed with laparoscopic surgery, there is the potential for prolonged bowel distension, obstructed surgical exposure, and increased morbidity. This study aimed to evaluate the overall safety and outcomes of laparoscopic colorectal procedures in which intraoperative colonoscopy was performed.<br />Methods: The study group consisted of patients who underwent intraoperative colonoscopy during laparoscopic intestinal resection at our institution between 1995 and 2011. They were individually matched for a number of factors including age, gender, diagnosis, American Society of Anesthesiologists (ASA) physical status score, and type of surgical procedure with a cohort of patients who underwent laparoscopic intestinal resection with no intraoperative colonoscopy during the same period. Early postoperative outcomes and time to flatus and first bowel movement were compared.<br />Results: For the study, 30 patients (18 females) and 30 matched control subjects were identified. The study and control groups did not differ in terms of operating time (132 vs 151 min; p = 0.5), estimated blood loss (216 vs 212 ml; p = 0.9), conversion to open surgery (n = 1 vs 5; p = 0.2), time to first flatus (3 vs 4 days; p = 0.4), time to first bowel movement (4 vs 4 days; p = 0.4), reoperation (n = 0 vs 1; p = 1), length of hospital stay (6 vs 9 days; p = 0.3), overall morbidity (n = 10 vs 14; p = 0.4), or readmission (n = 0 vs 1; p = 1). The complications that developed during or after surgery were similar in the two groups. No colonoscopy-related complications or deaths occurred.<br />Conclusions: Intraoperative colonoscopy does not complicate the application and outcomes of laparoscopic intestinal resection. Surgeons should perform an intraoperative colonoscopy when it is indicated during laparoscopic surgery.
- Subjects :
- Aged
Case-Control Studies
Colonic Diseases diagnosis
Colonoscopy statistics & numerical data
Colorectal Neoplasms surgery
Comorbidity
Female
Humans
Intraoperative Complications etiology
Intraoperative Complications prevention & control
Length of Stay statistics & numerical data
Male
Middle Aged
Operative Time
Pneumoperitoneum, Artificial adverse effects
Postoperative Complications etiology
Postoperative Complications prevention & control
Recovery of Function
Retrospective Studies
Treatment Outcome
Colectomy methods
Colonic Diseases surgery
Colonoscopy adverse effects
Intraoperative Care methods
Intraoperative Complications epidemiology
Laparoscopy statistics & numerical data
Postoperative Complications epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1432-2218
- Volume :
- 27
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Surgical endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 23519496
- Full Text :
- https://doi.org/10.1007/s00464-013-2928-1