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
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.
British Journal of Surgery
https://doi.org/10.1002/bjs.6211
Neoplasm Staging
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.
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.
@article{14d2f749fa2f4339b5c6e6cd51704ff3,
title = "Reduced adhesion formation following laparoscopic versus open colorectal surgery",
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.",
author = "Dowson, {H. M.} and Bong, {J. J.} and Lovell, {D. P.} and Worthington, {T. R.} and Karanjia, {N. D.} and Rockall, {T. A.}",
doi = "10.1002/bjs.6211",
journal = "British Journal of Surgery",
T1 - Reduced adhesion formation following laparoscopic versus open colorectal surgery
AU - Dowson, H. M.
AU - Bong, J. J.
AU - Lovell, D. P.
AU - Worthington, T. R.
AU - Karanjia, N. D.
AU - Rockall, T. A.
N2 - 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.
AB - 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.
U2 - 10.1002/bjs.6211
DO - 10.1002/bjs.6211
JO - British Journal of Surgery
JF - British Journal of Surgery
10.1002/bjs.6211