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Related Experiment Videos

Abandoned endoscopic procedures.

Samik K Bandyopadhyay1, Pradeep K Chowbey, Anil Sharma

  • 1Department of Minimal Access Surgery, Sir Ganga Ram Hospital, New Delhi, India. drsamikbanerjee@yahoo.com

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|July 21, 2004
PubMed
Summary
This summary is machine-generated.

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See all related articles

Abandoning or deferring endoscopic surgery due to adverse conditions significantly reduces patient morbidity compared to open surgery. This retrospective review highlights outcomes for 48 abandoned procedures, with malignancy being a primary cause.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Patient Outcomes

Background:

  • Intraoperative adverse conditions may necessitate abandoning or deferring planned surgical procedures.
  • Endoscopic procedures offer a potential advantage in reduced morbidity when abandoned compared to open surgery.

Purpose of the Study:

  • To review outcomes of endoscopic surgical procedures that were abandoned or deferred intraoperatively.
  • To analyze the reasons for abandonment and their impact on patient management and outcomes.

Main Methods:

  • Retrospective review of 11,550 endoscopic surgical procedures performed between January 1998 and May 2003.
  • Analysis of 48 cases where procedures were abandoned or deferred, identifying causes and patient outcomes.

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Main Results:

  • 48 out of 11,550 endoscopic procedures were abandoned.
  • Previously unsuspected intraabdominal malignancy was the most frequent reason (32 patients), followed by anesthesia-related problems (6 patients).
  • Patients with malignancy were staged and treated; those deferred without malignancy were operated on later with good outcomes.

Conclusions:

  • Intraoperative adverse events can necessitate changes in surgical approach, including abandonment or deferral of endoscopic procedures.
  • Abandoning or deferring endoscopic surgery leads to significantly less morbidity than conventional open surgery.
  • Management strategies should include considering delayed operations or alternative treatments when procedures are abandoned.