scholarly journals Minimal-access colorectal surgery is associated with fewer adhesion-related admissions than open surgery

2012 ◽  
Vol 100 (1) ◽  
pp. 152-159 ◽  
Author(s):  
E. M. Burns ◽  
A. Currie ◽  
A. Bottle ◽  
P. Aylin ◽  
A. Darzi ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Open Surgery ◽  
Minimal Access

scholarly journals Interim safety analysis of the first-in-human clinical trial of the Versius surgical system, a new robot-assisted device for use in minimal access surgery

2020 ◽  
Author(s):  
Dhananjay Kelkar ◽  
Mahindra A. Borse ◽  
Girish P. Godbole ◽  
Utkrant Kurlekar ◽  
Mark Slack
Keyword(s):  
Clinical Trial ◽  
Surgical Procedures ◽  
Open Surgery ◽  
Safety Analysis ◽  
Minimal Access Surgery ◽  
Minimal Access ◽  
Robot Assisted ◽  
Post Surgery ◽  
Access Surgery ◽  
Surgical System

Abstract Objective The aim of this study was to provide an interim safety analysis of the first 30 surgical procedures performed using the Versius Surgical System. Background Robot-assisted laparoscopy has been developed to overcome some of the important limitations of conventional laparoscopy. The new system is currently undergoing a first-in-human prospective clinical trial to confirm the safety and effectiveness of the device when performing minimal access surgery (MAS). Methods Procedures were performed using Versius by a lead surgeon supported by an operating room (OR) team. Male or female patients aged between 18 and 65 years old and requiring elective minor or intermediate gynaecological or general surgical procedures were enrolled. The primary endpoint was the rate of unplanned conversion of procedures to other MAS or open surgery. Results The procedures included nine cholecystectomies, six robot-assisted total laparoscopic hysterectomies, four appendectomies, five diagnostic laparoscopy cases, two oophorectomies, two fallopian tube recanalisation procedures, an ovarian cystectomy and a salpingo-oophorectomy procedure. All procedures were completed successfully without the need for conversion to MAS or open surgery. No patient returned to the OR within 24 h of surgery and readmittance rate at 30 and 90 days post-surgery was 1/30 (3.3%) and 2/30 (6.7%), respectively. Conclusions This first-in-human interim safety analysis demonstrates that the Versius Surgical System is safe and can be used to successfully perform minor or intermediate gynaecological and general surgery procedures. The cases presented here provide evidence that the Versius clinical trial can continue to extend recruitment and begin to include major procedures, in alignment with the IDEAL-D Framework Stage 2b: Exploration.

scholarly journals Postoperative ileus in colorectal surgery: is there any difference between laparoscopic and open surgery?

2013 ◽  
Vol 1 (2) ◽  
pp. 138-143 ◽  
Author(s):  
M. Fesharakizadeh ◽  
D. Taheri ◽  
S. Dolatkhah ◽  
S. D. Wexner
Keyword(s):  
Colorectal Surgery ◽  
Open Surgery ◽  
Postoperative Ileus

Minimal access and open surgery

1997 ◽  
Vol 11 (11) ◽  
pp. 1063-1064 ◽  
Author(s):  
K.A. Forde
Keyword(s):  
Open Surgery ◽  
Minimal Access

scholarly journals Primary Outcome of Laparoscopic Colorectal Resections in a Northern Finnish Hospital: A Single Center Study

2018 ◽  
Vol 108 (2) ◽  
pp. 137-143
Author(s):  
H. Huhta ◽  
S. Vuolio ◽  
I. Typpö ◽  
A. Rahko ◽  
K. Suokanerva ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Open Surgery ◽  
Primary Outcome ◽  
Laparoscopic Colorectal Surgery ◽  
Surgical Complication ◽  
Hospital Data ◽  
Patient Registries ◽  
American Society ◽  
Colorectal Resections ◽  
Laparoscopic Colorectal Resections

Background and Aims: Over the past decades, laparoscopic colorectal surgery has become widely used for various indications. Large multicenter studies have demonstrated that laparoscopy has clear advantages over open surgery. Compared to open procedures, laparoscopy decreases perioperative blood loss, post-operative pain, and hospitalization time, but provides equivalent long-term oncological and surgical results. Most studies have been conducted in high-volume institutions with selected patients, which may have influenced the reported outcome of laparoscopy. Here, we investigated the primary outcome of all laparoscopic colorectal resections performed between 2005 and 2015 in a low-volume center. Materials and Methods: This retrospective study included bowel resections performed between 2005 and 2015 in the Lapland Central Hospital. Data were retrieved from electronic patient registries, and all operations that began as a laparoscopy were included. Patient records were investigated to determine the primary surgical outcome and possible complications within the first 30 days after surgery. Results: During 2005–2015, 385 laparoscopic colorectal resections were performed. Indications included benign (n = 166 patients, 43.1%) and malignant lesions (n = 219 cases, 56.9%). The median patient age was 68 years, and 50.4% were male. The median American Society of Anesthesiologist score was III, and 48.5% of patients had an American Society of Anesthesiologist class of III or IV. The median hospital stay after surgery was 6 days (interquartile range: 3.8). The conversion rate to open surgery rate was 13%. The total surgical complication rate was 24.2%, and re-operation was required in 11.2% of patients. A total of 26 patients had anastomotic leakage, of which 16 required re-operations. The 30-day mortality was 0.8%. Conclusion: Our results showed that laparoscopic colorectal surgery in a peripheral hospital resulted in primary outcome rates within the range of those reported in previous multicenter trials. Therefore, the routine use of laparoscopic colorectal resections with high-quality outcome is feasible in small and peripheral surgical units.

Laparoscopic Colorectal Surgery Is Associated With a Higher Intraoperative Complication Rate Than Open Surgery

2011 ◽  
Vol 253 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Tarik Sammour ◽  
Arman Kahokehr ◽  
Sanket Srinivasa ◽  
Ian P. Bissett ◽  
Andrew G. Hill
Keyword(s):  
Colorectal Surgery ◽  
Complication Rate ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Intraoperative Complication

scholarly journals Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review

2021 ◽  
Vol 10 (7) ◽  
pp. 1447
Author(s):  
Constantine Halkias ◽  
Athanasios Zoikas ◽  
Zoe Garoufalia ◽  
Michalis K. Konstantinidis ◽  
Argyrios Ioannidis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Case Reports ◽  
Case Series ◽  
Median Length ◽  
Laparoscopic Operation ◽  
Management Of Complications ◽  
Lateral Pelvic Lymph Nodes

Introduction: Re-operative laparoscopic colorectal surgery is becoming increasingly common. It can be a challenging procedure, but its benefits can outweigh the associated risks. Methods: A systematic review of the literature reporting re-operative laparoscopic surgery was carried out. Retrospective and prospective cohort studies and case series were included, with case reports being excluded. Results: Seventeen articles dated from 2007 to 2020 were included in the systematic review. In total, 1555 patients were identified. Five hundred and seventy-four of them had a laparoscopic procedure and 981 an open re-operation. One hundred and eighty-three women had a laparoscopic operation. The median age ranged from to 44.9 years to 68.7 years. In seven studies, the indication of the index operation was malignancy, one study regarded re-laparoscopy for excision of lateral pelvic lymph nodes, and one study looked at redo surgery of ileal J pouch anal anastomosis. There were 16 mortalities in the laparoscopic arm (2.78%) and 93 (9.4%) in the open surgery arm. One hundred and thirty-seven morbidities were recorded in the open arm and 102 in the laparoscopic arm. Thirty-nine conversions to open occurred. The median length of stay ranged from 5.8 days to 19 days in laparoscopy and 9.7 to 34 days in the open surgery arm. Conclusions: Re-operative laparoscopic colorectal surgery is safe when performed by experienced hands. The management of complications, recurrence of malignancy, and lateral pelvic floor dissection can be safely performed. The complication rate is low, with conversion to open procedures being relatively uncommon.

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