ArticleSurgical endoscopy2015
Laparoscopic versus open reintervention for anastomotic leakage following minimally invasive colorectal surgery.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Redo-laparoscopy in the management of complications after laparoscopic colorectal surgery: a systematic review and meta-analysis of surgical outcomes.Techniques in coloproctology · 2021Pooled it
- Prevention and management of anastomotic leakage after colorectal resection: evolving trends among Italian surgeons. A SICCR survey.Updates in surgery · 2026Article
- Efficacy of a Laparoscopic Approach in Treating Gangrenous Ischemic Colitis: A Case Report.Surgical case reports · 2026Article
- Congenital absence of omentum with short bowel syndrome: a case report.Journal of medical case reports · 2025Article
- [Anastomotic leaks in colorectal surgery].Chirurgie (Heidelberg, Germany) · 2024Article
- Impact of an Enhanced Recovery After Surgery (ERAS) program on the management of complications after laparoscopic or robotic colectomy for cancer.Annals of coloproctology · 2024Article
- Laparoscopic versus open emergent colectomy for ischemic colitis: a propensity score-matched comparison.World journal of emergency surgery : WJES · 2022Article
- "Relaparoscopy" to treat early complications following colorectal surgery.Surgical endoscopy · 2022Article
- Laparoscopic redo anastomosis for management of intraperitoneal anastomotic leakage after colonic surgery.BMC surgery · 2022Article
- Transanal endoluminal repair for anastomotic leakage after low anterior resection.BMC surgery · 2022Article
- Re-laparoscopy for the treatment of complications after laparoscopic appendectomy: is it possible to maintain the minimally invasive approach?Updates in surgery · 2021Article
- Management of Acute Anastomotic Leaks.Clinics in colon and rectal surgery · 2021Review
- Laparoscopic Versus Open Re-operations Within 30 Days After Lower Gastrointestinal Tract Surgery: a Retrospective Comparative Study.World journal of surgery · 2021Article
- Management and 1-year outcomes of anastomotic leakage after elective colorectal surgery.International journal of colorectal disease · 2021Article
- Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review.Journal of clinical medicine · 2021Review
- Combined repeat laparoscopy and transanal endolumenal repair (hybrid approach) in the early management of postoperative colorectal anastomotic leaks: technique and outcomes.Surgical endoscopy · 2018Article
- Short- and long-term outcomes after colorectal anastomotic leakage is affected by surgical approach at reoperation.International journal of colorectal disease · 2018Article
- Rectal free perforation after stapled hemorrhoidopexy: A case report of laparoscopic peritoneal lavage and repair without stoma.International journal of surgery case reports · 2017Article
- Emerging Trends in the Etiology, Prevention, and Treatment of Gastrointestinal Anastomotic Leakage.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Review
- Minimally invasive management of anastomotic leaks in colorectal surgery.World journal of gastrointestinal surgery · 2016Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study is to evaluate the safety and feasibility of laparoscopic reintervention compared with open surgery in patients with anastomotic leakage after minimally invasive colorectal surgery.
methodsBetween January 2008 and December 2012, 77 patients who required surgical reintervention for anastomotic leakage following minimally invasive colorectal surgery were included in this study. Data on the patients' demographics, operative management, morbidity, hospital stay, and mortality were analyzed for differences based on whether they received laparoscopic or open surgery.
resultsSixteen patients underwent open surgery following laparoscopy, and 61 patients received laparoscopic reintervention following laparoscopy. The conversion rate was 8.2 % (5/61). The median total hospital stay following reintervention was significantly shorter for laparoscopic surgery (16.0 days, range 9-117 days) than for open surgery (35.5 days, range 10-135 days, p < 0.001). The postoperative 30-day morbidity rate, including wound dehiscence (25.0 vs 3.3 %, p = 0.015) and intra-abdominal infection (31.3 vs 6.6 %, p = 0.016), was lower in the laparoscopic surgery group than in the open surgery group. The rate of stoma closure was lower in the open surgery group than in the laparoscopic surgery group (43.8 vs 80.5 %, p < 0.001). There was one in-hospital mortality in the open surgery group.
conclusionsLaparoscopic reintervention for anastomotic leakage following minimally invasive colorectal surgery is associated with a shorter hospital stay, fewer postoperative complications, and a higher stoma closure rate than open surgery. Laparoscopic reintervention for anastomotic leakage is feasible and safe.
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