engleski

Complications in colorectal surgery: laparoscopic vs. open colorectal surgery

Results: Complications occurred in 31 (14, 76%.) patients. Intraoperative complications occurred in 4 (1, 91%) patients. In 2 (2, 08%) patients submitted to lap surgery intraoperative complications mandated conversion (uncontrolled bleeding (n=1) and ureteric lesion (n=1)). In open surgery intraoperative massive bleeding occurred in 2 (1, 75%) patients ; from iliac vein (n=1) and sacral veins (n=1). Postoperative complications occurred in 27 (12.86 %) patients ; 16 (14.04%) patients submitted to open and 8 (8.33 %) to laparoscopic surgery. Wound infection developed in 8 (3, 81%) ; 5 (4.39 %) in open and 3 (3.13 %) in laparoscopic surgery. Anastomotic leak occurred only after low rectal resections. Leak occurred in 9 (5%) of 180 patients whom primary anastomosis was done. Clinical leakage occurred in 5 (5, 43%) patients after laparoscopic and in 4 (4, 54%) after open approach. Other postoperative complications included postoperative ileus (n=6), small bowel obstruction (n=1), small bowel perforation (n=1), intraabdominal apsces (n=1) and colostomy ischaemia (n=1). Cardiac, respiratory and urinary complicationsoccurred in 4 patients. Due to complications 22 (81.48 %) pts were reoperated and 8 (36.36 %) was earlier submitted to laparoscopic surgery and 14 (63.64 %) to open surgery. Hospital stay for patients with complications was significantly longer (range 8-71 days). Conclusion: The complications of laparoscopic colorectal surgery compare favorably with those of open procedures. It seems that laparoscopic colorectal surgery showed slightly more intraoperative complications, but overall postoperative complications occurred more frequent in open surgery.

complications ; colorectal surgery

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