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Comparison of Peristomal Adhesion Formation Between Laparoscopic and Open Low Anterior Resection of Rectal Cancer

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Author(s)
Woon Kyung JeongJi Won ParkHyo Seong ChoiSeung-Yong JeongJae Hwan Oh
Keimyung Author(s)
Jeong, Woon Kyung
Department
Dept. of Surgery (외과학)
Journal Title
World Journal of Surgery
Issued Date
2013
Volume
37
Issue
11
Abstract
Background Postoperative adhesions appear to be less
common following laparoscopic surgery than after conventional
open surgery. The purpose of this study was to
compare the impact of laparoscopic and conventional open
rectal surgery on peristomal adhesion formation.
Methods We enrolled 97 subjects who were participants
in a trial comparing open versus laparoscopic surgery for
mid and low rectal cancer after neoadjuvant chemoradiotherapy.
These patients had undergone rectal cancer surgery
with ileostomy formation. Peristomal adhesions were
assessed during ileostomy takedown using an adhesion
grading system: (1) no adhesions or fine, filmy adhesions
separable by blunt dissection; (2) dense adhesions, separable
by sharp dissection; (3) very dense adhesions,
resulting in enterotomy and/or requiring extension of the
abdominal wall incision.
Results A total of 57 patients underwent laparoscopic
resection (group A) and 40 underwent open resection
(group B). Operating time for ileostomy dissection was
shorter in group A than in group B (14.6 vs. 19.8 min,
respectively; p = 0.047). Dense adhesions (grades 2 and 3)
were more common in group B (22/40, 55 %) than in group
A (12/57, 21 %; p\0.001). In particular, grade 3 adhesions
were present only in group B (6/40).
Conclusions The present findings suggest that laparoscopic
rectal surgery results in less peristomal adhesion
formation than does conventional open surgery.
Keimyung Author(s)(Kor)
정운경
Publisher
School of Medicine
Citation
Woon Kyung Jeong et al. (2013). Comparison of Peristomal Adhesion Formation Between Laparoscopic and Open Low Anterior Resection of Rectal Cancer. World Journal of Surgery, 37(11), 2683–2687. doi: 10.1007/s00268-013-2165-8
Type
Article
ISSN
0364-2313
Source
http://lps3.link.springer.com.proxy.dsmc.or.kr/article/10.1007%2Fs00268-013-2165-8
DOI
10.1007/s00268-013-2165-8
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37237
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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