MANAGEMENT OF HEMORRHAGE IN LAPAROSCOPIC COLORECTAL SURGERY
نویسندگان
چکیده
Abstract Introduction Laparoscopic colorectal surgery (LCRS) offers similar oncologic outcomes to the open approach along with early postoperative recovery but is not without complications, bleeding being uncommon variable impact and technical resource demand. Methods A descriptive retrospective study of in patients undergoing elective LCRS our center between 01/012018 31/12/2021. The data analysis was performed using SPSS statistical software. Results Out 945 LCRS, 45 (4.8%) presented some hemorrhagic event. main diagnosis cancer (35), followed by diverticular disease (6). procedures most frequently associated were sigmoidectomy (13), TATME (7) right hemicolectomy (7). Five moderate (4) or severe (1) intraoperative bleeding, controlled during surgery. commonly used hemostatic devices biopolar energy (29.5%) combined (34.1%). clinical 20 cases (45.5%), 17 CT angiography (38.6%) 7 endoscopy (15.9%). In 36.4% origin hemorrhage anastomosis, demonstrated radiological study. Eleven (25%) required reintervention: seven four laparoscopy (two conversions). Therapeutic (15.9%), 1 patient interventional radiology-surgery combined, another endoscopy-surgery. There no mortality due this cause. mean length stay after 19.52 days. Conclusions Hemorrhage a rare potentially serious complication that requires staged multidisciplinary approaches, including advanced therapeutic radiology procedures.
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2023
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac443.040