Laparoscopic colectomy in patients with previous abdominal surgery Eiji SAKAMOTO 1 , Hiroshi HASEGAWA 1 , Shunichiro KOMATSU 1 , Yasuhiro KURUMIYA 1 , Shinji NORIMIZU 1 , Tomotake TABATA 1 , Seiji NATSUME 1 , Taro AOBA 1 1Department of Surgery, Nagoya Daini Red Cross Hospital Keyword: 腹部手術既往歴 , 開腹既往歴 , 腹腔鏡下大腸切除術 pp.175-179
Published Date 2009/4/15
DOI https://doi.org/10.11477/mf.4426100315
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 Few reports have been published regarding laparoscopic colectomy for patients who hare undergone open surgery. Of 871 patients who underwent laparoscopic colectomy, 210 patients had previous abdominal surgery and 661 patients had no previous history of abdominal surgery.

 The conversion ratio from laparoscopic to open surgery was 6.7%in the patients with previous abdominal surgery and 4.2%in the patients without one. There was no significant difference in the operation time and blood loss between these two groups. The morbidity rate was similar in these groups. In general, abdominal adhesion was relatively mild in patients with previous appendectomy or gynecological surgery for benign disease. In patient with previous abdominal surgery, laparoscopic colectomy may be performed if the site of previous surgery is far from the target organ.

Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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