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Laparoscopic right colectomy in patients treated with previous gastrectomy

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Abstract

Purpose

Laparoscopic colorectal surgery is increasingly being performed in patients treated with previous abdominal surgery. This is a retrospective study designed to evaluate the feasibility of laparoscopic right colectomy in patients with a previous history of gastrectomy.

Methods

Of 838 consecutive patients who underwent elective laparoscopic right colectomy, 23 had previously undergone gastrectomy (PG group) and 516 had no history of previous abdominal surgery (NS group). The short-term surgical outcomes were retrospectively investigated in the PG and NS groups.

Results

The median patient age was 75 years in the PG group and 67 years in the NS group (p = 0.0026), and the median body mass index in both groups was 19.2 and 22.6 kg/m2, respectively (p = 0.0006). The mean operative time, amount of blood loss and postoperative hospital stay were similar. One patient in the PG group and five patients in the NS group required conversion to laparotomy (p = 0.1307). Three patients in the PG group experienced postoperative complications, one each with an intraperitoneal abscess, wound infection and enterocolitis; however, none of these complications were directly attributable to adhesiolysis. The rates of intraoperative and postoperative complications were similar.

Conclusions

Laparoscopic right colectomy is feasible in patients treated with previous gastrectomy.

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Acknowledgments

We gratefully acknowledge the anonymous reviewers of this manuscript for their guidance in reshaping the initial discussion of the implications and reflections.

Conflict of interest

A. Ikeda and the other co-authors have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Atsushi Ikeda, Yosuke Fukunaga, Takashi Akiyoshi, Tsuyoshi Konishi, Yoshiya Fujimoto, Satoshi Nagayama & Masashi Ueno

Authors
  1. Atsushi Ikeda
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  2. Yosuke Fukunaga
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  3. Takashi Akiyoshi
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  4. Tsuyoshi Konishi
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  5. Yoshiya Fujimoto
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  6. Satoshi Nagayama
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  7. Masashi Ueno
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Corresponding author

Correspondence to Yosuke Fukunaga.

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Ikeda, A., Fukunaga, Y., Akiyoshi, T. et al. Laparoscopic right colectomy in patients treated with previous gastrectomy. Surg Today 46, 209–213 (2016). https://doi.org/10.1007/s00595-015-1157-8

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  • DOI: https://doi.org/10.1007/s00595-015-1157-8

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