Is there a role for a strict incision length criterion for determining conversions during laparoscopic colorectal resection?
Surg Innov
; 17(2): 120-6, 2010 Jun.
Article
em En
| MEDLINE
| ID: mdl-20504788
ABSTRACT
PURPOSE:
There's no consensus about what defines a conversion for laparoscopic-assisted colorectal resection (LACR). This study's goal was to assess the utility of a strict incision length (IL) definition of conversion (incision > 7 cm) and compare it with results obtained when the surgeon determined (SD) if a LACR had been successfully completed.METHODS:
The demographic and perioperative data for 580 elective LACRs were reviewed. The short-term outcomes for each conversion definition were determined and compared.RESULTS:
Conversion rates were 22% using the IL definition and 16% via the SD method. Both methods detected significant differences between completed and converted groups regarding the following incision size, hospital stay, time to flatus, bowel movement, and regular diet as well as rate of wound infection and ileus. The IL method alone detected significant differences in the rate of pulmonary complications and BMI between the completed and converted groups.CONCLUSIONS:
The 2 methods yielded similar results for most parameters. The IL method better separated the patients in regard to 2 parameters. This method is objective and easy to apply; however, it may discriminate against obese patients whose extraction incisions are often longer. A conversion definition that considers BMI and IL is needed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Reto
/
Laparoscopia
/
Colectomia
/
Seleção de Pacientes
/
Parede Abdominal
/
Enteropatias
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Surg Innov
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos