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Laparoscopic Versus Open Re-operations Within 30 Days After Lower Gastrointestinal Tract Surgery: a Retrospective
Sona Deretti1, Francesco Mongelli2, Giulia Staccini1
1Department of Surgery, Ospedale Regionale Di Lugano, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland.
World Journal of Surgery
|January 28, 2021
Summary
Re-operations after lower gastrointestinal surgery can be safely performed using laparoscopy. This approach demonstrated comparable success rates to laparotomy, with reduced hospital stay and mortality.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Re-operations within 30 days of lower gastrointestinal surgery carry significant morbidity and mortality risks.
- Laparoscopic approaches are considered feasible for select patients, but comparative data against laparotomy are limited.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic re-operations for lower gastrointestinal surgery.
- To compare outcomes of laparoscopic versus open laparotomy re-operations.
Main Methods:
- A retrospective review of 71 patients undergoing re-operation within 30 days of lower gastrointestinal surgery.
- Patients were divided into laparoscopic (n=30) and laparotomy (n=41) groups.
- Primary endpoint: successful re-operation (no conversion, further invasive treatment, or death). Secondary outcomes: hospital stay, 30-day morbidity/mortality.
Main Results:
- Laparoscopic and laparotomy approaches showed similar re-operation success rates.
- Laparotomy was independently associated with prolonged hospital stay (OR 3.582) and increased mortality (OR 13.123).
Conclusions:
- Laparoscopic re-operations within 30 days of lower gastrointestinal surgery are safe and effective in selected patients.
- The laparoscopic approach may be associated with shorter hospital stays and lower mortality rates compared to laparotomy.
