Reduced adhesion formation following laparoscopic versus open colorectal surgery

H. M. Dowson, J. J. Bong, D. P. Lovell, T. R. Worthington, N. D. Karanjia, T. A. Rockall

Research output: Contribution to journalArticle

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Abstract

Background: Adhesion formation is common after abdominal surgery. This study aimed to compare the extent of adhesion formation following laparoscopic and open colorectal surgery. Methods: An observational study was undertaken to identify adhesions in patients undergoing laparoscopy after previous laparoscopic or open colectomy. Adhesions were scored according to a system validated for interobserver (median κ = 0.80) and intraobserver (κ = 0.82) agreement. The primary endpoint was the overall adhesion score (0-10); a secondary endpoint was the adhesion score at the main incision site (0-6). Results: Forty-six patients were recruited (13 laparoscopic and 33 open colectomy). In most patients (n = 29), laparoscopy was performed for tumour staging before liver resection. The median (interquartile range) overall adhesion score was 7 (5-8) in the open group and 0 (0-3) in the laparoscopic group (P < 0.001). A similar difference was found for the main incision score: 6 (4-6) versus 0 (0-0) (P < 0.001). Conclusion: There may be a reduction in adhesion formation following laparoscopic compared with open colectomy, although the small sample size limits this conclusion.

Original languageEnglish
Pages (from-to)909-914
Number of pages6
JournalBritish Journal of Surgery
Volume95
Issue number7
DOIs
Publication statusPublished - Jul 2008
Externally publishedYes

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Colorectal Surgery
Colectomy
Laparoscopy
Neoplasm Staging
Sample Size
Observational Studies
Liver

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Dowson, H. M., Bong, J. J., Lovell, D. P., Worthington, T. R., Karanjia, N. D., & Rockall, T. A. (2008). Reduced adhesion formation following laparoscopic versus open colorectal surgery. British Journal of Surgery, 95(7), 909-914. https://doi.org/10.1002/bjs.6211

Reduced adhesion formation following laparoscopic versus open colorectal surgery. / Dowson, H. M.; Bong, J. J.; Lovell, D. P.; Worthington, T. R.; Karanjia, N. D.; Rockall, T. A.

In: British Journal of Surgery, Vol. 95, No. 7, 07.2008, p. 909-914.

Research output: Contribution to journalArticle

Dowson, HM, Bong, JJ, Lovell, DP, Worthington, TR, Karanjia, ND & Rockall, TA 2008, 'Reduced adhesion formation following laparoscopic versus open colorectal surgery', British Journal of Surgery, vol. 95, no. 7, pp. 909-914. https://doi.org/10.1002/bjs.6211
Dowson HM, Bong JJ, Lovell DP, Worthington TR, Karanjia ND, Rockall TA. Reduced adhesion formation following laparoscopic versus open colorectal surgery. British Journal of Surgery. 2008 Jul;95(7):909-914. https://doi.org/10.1002/bjs.6211
Dowson, H. M. ; Bong, J. J. ; Lovell, D. P. ; Worthington, T. R. ; Karanjia, N. D. ; Rockall, T. A. / Reduced adhesion formation following laparoscopic versus open colorectal surgery. In: British Journal of Surgery. 2008 ; Vol. 95, No. 7. pp. 909-914.
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