Laparoscopic total colectomy: Does the indication influence the outcome?

AIM: To assess and compare outcomes of laparoscopic total colectomy performed for a variety of indications. METHODS: Sixty six patients underwent laparoscopic total colectomy for inflammatory bowel disease (IBD) (13) and other diseases (53). Data on demographics, pre and post-operative outcomes were...

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Published in:World journal of gastrointestinal surgery 2011-11, Vol.3 (11), p.177-182
Main Authors: Cotte, Eddy, Mohamed, Faheez, Nancey, Stéphane, François, Yves, Glehen, Olivier, Flourié, Bernard, Saurin, Jean-Christophe, Poncet, Gilles
Format: Article
Language:English
Subjects:
adenomatous
bowel
Brief
Cancer
Colectomy
Colonic
Constipation
disease
Diverticulosis
Familial
Hereditary
Inflammatory
Laparoscopy
Life Sciences
neoplasms
nonpolyposis
outcomes
polyposis
Treatment
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Summary:AIM: To assess and compare outcomes of laparoscopic total colectomy performed for a variety of indications. METHODS: Sixty six patients underwent laparoscopic total colectomy for inflammatory bowel disease (IBD) (13) and other diseases (53). Data on demographics, pre and post-operative outcomes were collected prospectively.RESULTS: Mean operative time was 4.5 h. Conversion rate was 13.6%. Total colectomy performed for IBD was associated with a signifi cantly higher anastomotic leak rate (23.1% vs 1.9%, P < 0.05). On univariate analysis, hand sewn anastomosis and treatment with more than 20 mg of prednisolone for at least 3 mo was associated with a higher anastomotic leak rate (P < 0.05). No signifi cant difference was found in return of gut function and overall morbidity between disease groups. CONCLUSION: Laparoscopic total colectomy is feasible and outcomes are equivalent whatever the indica- tion, except for anastomotic leak rate which is higher for patients with IBD.
ISSN:1948-9366
1948-9366
DOI:10.4240/wjgs.v3.i11.177