Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature.
In: Surgical Endoscopy & Other Interventional Techniques, Jg. 36 (2022-05-01), Heft 5, S. 3389-3397
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Zugriff:
Background: Stoma reversal surgery can result in considerable morbidity and even mortality. Feasibility of utilizing single-port laparoscopy through the stoma fenestration have been shown before. Aim of the present observational study is to evaluate multicenter experiences of single-port reversal of left-sided colostomy (SPRLC) throughout Europe and to provide an overview of available literature on this topic. Methods: All patients undergoing SPRLC in four different teaching hospitals throughout Europe are included. Primary outcome was 30-day postoperative complication rate. Secondary outcomes were postoperative length of stay (LOS), single-port success rate and conversion rates. Appraisal of the available literature in PubMed was performed. Results: Of 156 SPRLC procedures, 98.7% of them were technically successful and 71.8% were without postoperative complications. No postoperative mortality was encountered. Superficial site infection occurred in 14.7%, anastomotic leakage in 3.9% and major complications in 8.3%. Median LOS was 4.0 days (1–69), single-port success rate was 64.7%, 12.8% and 21.2% (33/154) were converted to an open and multiport laparoscopic procedure, respectively. Literature shows equally favorable results in 131 patients divided over 5 cohorts with morbidity ranging from 0 to 30.4% and mortality from 0 to 2.2% and median LOS of 4–8 days. Conclusion: This study confirms the safety, feasibility and favorable results of the use of single-port approach in the reversal of left-sided colostomy in different centers in Europe with laparoscopic experienced colorectal surgeons. The available literature on this topic support and show equally favorable results using single-port laparoscopy for left-sided colostomy reversal surgery. [ABSTRACT FROM AUTHOR]
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Titel: |
Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature.
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Autor/in / Beteiligte Person: | van Loon, Y. T. ; Clermonts, S. H. E. M. ; Belgers, E. H. J. ; Kurihara, H. ; Spinelli, A. ; Joshi, H. M. ; Gorissen, K. J. ; Zimmerman, D. D. E. |
Zeitschrift: | Surgical Endoscopy & Other Interventional Techniques, Jg. 36 (2022-05-01), Heft 5, S. 3389-3397 |
Veröffentlichung: | 2022 |
Medientyp: | academicJournal |
ISSN: | 1866-6817 (print) |
DOI: | 10.1007/s00464-021-08657-x |
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