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The characteristics of residual pneumoperitoneum after laparoscopic colorectal surgery
- Source :
- Asian Journal of Endoscopic Surgery. 15:320-327
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- INTRODUCTION Despite the popularity of laparoscopic surgery, it remains unclear whether residual pneumoperitoneum influences the patient's postoperative course. This study aimed to evaluate the characteristics of residual pneumoperitoneum. METHODS This retrospective study included 201 Japanese patients who had undergone elective laparoscopic colorectal surgery. The patients were divided into groups, with and without anastomotic failure; the non-anastomotic failure group was further divided into subgroups, with and without residual pneumoperitoneum. Patient characteristics were compared between the various groups. RESULTS The group with residual pneumoperitoneum included 57 patients (30.3%). Percutaneous drainage was required for one patient with residual pneumoperitoneum. Univariate analyses revealed that residual pneumoperitoneum was associated with low values for body mass index (BMI) and subcutaneous fat area (SFA). Furthermore, relative to the group with anastomotic failure, the group without anastomotic failure but with residual pneumoperitoneum had lower values for inflammatory markers. CONCLUSION Low BMI and SFA values were identified as risk factors for residual pneumoperitoneum. Inflammatory markers may be useful as indicators for avoiding emergent surgery when it is difficult to differentiate between asymptomatic residual pneumoperitoneum and free air related to anastomotic failure.
- Subjects :
- Laparoscopic surgery
medicine.medical_specialty
Univariate analysis
Percutaneous
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Anastomotic Leak
Retrospective cohort study
General Medicine
Anastomosis
medicine.disease
Colorectal surgery
Surgery
body regions
Pneumoperitoneum
medicine
Humans
Laparoscopy
business
Colorectal Surgery
Digestive System Surgical Procedures
Retrospective Studies
Subjects
Details
- ISSN :
- 17585910 and 17585902
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Endoscopic Surgery
- Accession number :
- edsair.doi.dedup.....6c5f98486b2c6e696aee14bcc64dbdff