Key result
Emergency laparoscopic colorectal surgery had a significantly higher rate of conversion to open surgery compared to elective laparoscopic colorectal surgery (35.7% vs 11.1%, p=0.016).
Why the study?
Although the laparoscopic technique is increasingly used in colorectal surgery, its use remains limited in emergency cases.
Does emergency laparoscopic colorectal surgery have a higher conversion rate to open surgery compared to elective laparoscopic colorectal surgery?
Observational (n=14)
No
Does emergency laparoscopic colorectal surgery have a higher conversion rate to open surgery compared to elective laparoscopic colorectal surgery?
Absolute Event Rate: 35.7% vs 11.1%
p-value: p=0.016
Emergency laparoscopic colorectal surgery is feasible in selected patients but is associated with a significantly higher rate of conversion to open surgery compared to elective cases.
Single-center laparoscopic emergency colorectal outcomes add limited data; hypothesis-generating and requires prospective validation before practice consideration.
Introduction:The laparoscopic technique is increasingly used in colorectal surgery.However, in emergency cases, the use of the laparoscopic method is still limited.This was a study of the outcomes of laparoscopic surgery in emergency cases of colorectal disease at a single center. Materials and Methods:The demographic data and perioperative findings of patients who underwent emergency laparoscopic colorectal surgery between July 2013 and January 2019 were retrospectively analyzed.Results: An emergency laparoscopy was performed on a total of 14 of 658 (2.1%) patients who underwent colorectal surgery.Eight (57.1%) were male and the mean age was 55.2±21.6 years.Conversion to open surgery was required in 5 cases (35.7%).The mean number of lymph nodes removed from the patients operated on for tumors was 22.5±17.5. Conclusion:The results of this study suggest that the laparoscopic approach can be applied in emergency cases of colorectal disease in certain circumstances.However, the rate of conversion to open surgery was greater than for non-emergency laparoscopic surgery.Laparoscopy was most useful for colonoscopy perforations and some colonic obstructions.
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Cüneyt Kayaalp (2019) conducted an observational in Emergency colorectal disease (n=14). Emergency laparoscopic colorectal surgery vs. Elective laparoscopic colorectal surgery was evaluated on Conversion to open surgery (p=0.016). Emergency laparoscopic colorectal surgery had a significantly higher rate of conversion to open surgery compared to elective laparoscopic colorectal surgery (35.7% vs 11.1%, p=0.016).
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