Laparoscopic re-operation after colorectal surgery: P064


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Abstract

Aim:With the gaining of the experience of laparoscopic surgery, re-operative laparoscopic surgery was applied in a selected cases. The aim of this study was to determine the feasibility and safety of laparoscopic re-operation.Method:From October 2003 to August 2009, we collected the patient who received laparoscopic reoperation. After excluding the minor surgery and ileostomy take-down, a total 24 patients was included and the clinico-pathologic parameters were analyzed.Results:There were 11 men and 13 women with the mean age of 63.5. Most of the initial operation was laparoscopic surgery (n = 22). Median interval from initial operation was 169 days. Re-operative indications were bleeding (n = 2), anastomotic leakage (n = 7), intestinal obstruction (n = 3), small bowel perforation (n = 1), tumour recurrence (n = 7), Hartmann reversal (n = 4). Total 11 laparoscopicprocedures were performed: adhesiolysis (n = 2), anastomosis revision (n = 3), bleeding control (n = 2), mass excision (n = 5), reversal of Hartmann colostomy (n = 4),primary closure of small bowel (n = 1), low anterior resection (n = 1), APR (n = 1), Hartmannprocedure (n = 1), enterostomy (n = 3), and salphingoophorectomy (n = 1). Intra-operative complications were developed in two cases (8.3%) of small bowel perforation. In two cases, operations were converted to open. Operative mortality was one case because of pneumonia.Conclusion:Laparoscopic re-operations seems to be feasible and safe in a selected patients in a specialized centre.

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