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Updated: Feb 4, 2026

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
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Loop ileostomy reversal after laparoscopic versus open rectal resection.

Arie Sebastian1, Douglas Stupart1,2, David A Watters1,2

  • 1Department of Surgery, University Hospital Geelong, Geelong, Victoria, Australia.

ANZ Journal of Surgery
|October 9, 2018
PubMed
Summary

Laparoscopic rectal resection may increase the time for subsequent ileostomy reversal compared to open surgery. However, complication rates for ileostomy reversal remain similar regardless of the initial surgical approach.

Keywords:
ileostomy reversallaparoscopicrectal cancerrectal resection

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Laparoscopic surgery may reduce adhesions, potentially simplifying future operations.
  • Adhesions can complicate subsequent abdominal surgeries, including ileostomy reversal.
  • Rectal resection with diverting ileostomy is a common procedure for rectal cancer.

Purpose of the Study:

  • To compare the operative time and safety of ileostomy reversal after laparoscopic versus open rectal resection.
  • To evaluate the impact of the primary surgical approach on the speed and complication rates of ileostomy reversal.
  • To inform surgical practice regarding the long-term consequences of laparoscopic rectal resection.

Main Methods:

  • Retrospective analysis of 82 patients undergoing ileostomy reversal after rectal cancer resection.
  • Data collected included demographic information, initial operative technique (laparoscopic, open, or converted), and histological stage.
  • Key outcomes measured were theatre time and complication rates for ileostomy reversal.

Main Results:

  • Ileostomy reversal took significantly longer after laparoscopic rectal resection (118 min) compared to open resection (65 min) (P = 0.009).
  • Patients who had laparoscopic surgery converted to open surgery had intermediate reversal times (80 min).
  • Complication rates for ileostomy reversal were comparable across all groups (P = 0.97).

Conclusions:

  • Primary laparoscopic rectal resection is associated with longer operative times for subsequent ileostomy reversal.
  • The choice of surgical approach for rectal resection does not appear to affect the safety of ileostomy reversal.
  • Further research may explore strategies to mitigate the increased operative time for reversal after laparoscopic procedures.