Open AccessSystematic review of emergent laparoscopic colorectal surgery for benign and malignant disease
Author(s) -
Manish Chand,
Muhammed R Siddiqui,
Amod Gupta,
Shahnawaz Rasheed,
Paris Tekkis,
Amjad Parvaiz,
Alex H. Mirnezami,
Tahseen Qureshi
Publication year - 2014
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v20.i45.16956
Subject(s) - medicine , colorectal surgery , laparoscopic surgery , laparoscopy , diverticular disease , randomized controlled trial , general surgery , diverticulitis , disease , critical appraisal , colorectal cancer , surgery , malignant disease , inflammatory bowel disease , abdominal surgery , cancer , pathology , alternative medicine
Laparoscopic surgery has become well established in the management of both and malignant colorectal disease. The last decade has seen increasing numbers of surgeons trained to a high standard in minimally-invasive surgery. However there has not been the same enthusiasm for the use of laparoscopy in emergency colorectal surgery. There is a perception that emergent surgery is technically more difficult and may lead to worse outcomes. The present review aims to provide a comprehensive and critical appraisal of the available literature on the use of laparoscopic colorectal surgery (LCS) in the emergency setting. The literature is broadly divided by the underlying pathology; that is, inflammatory bowel disease, diverticulitis and malignant obstruction. There were no randomized trials and the majority of the studies were case-matched series or comparative studies. The overall trend was that LCS is associated with shorter hospital stay, par or fewer complications but an increased operating time.Emergency LCS can be safely undertaken for both benign and malignant disease providing there is appropriate patient selection, the surgeon is adequately experienced and there are sufficient resources to allow for a potentially more complex operation.