The effects of repeat laparoscopic surgery on the treatment of complications resulting from laparoscopic surgery

Chih Yuan Fu, Chi Hsun Hsieh, Chun Han Shih, Yu-Chun Wang, Ray Jade Chen, Hung Chang Huang, Jui Chien Huang, Shih Chi Wu, Catherine Lin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Laparoscopic surgery is frequently applied in the operative management of appendicitis and symptomatic cholelithiasis because it is a minimally invasive procedure. There are, however, some complications of laparoscopic cholecystectomy (LC) and laparoscopic appendectomy (LA) that result in the need for reoperation. In the current study, we examine the effects of repeat laparoscopic surgery on the treatment of complications arising from LC/LA. From April 2005 to March 2011, we examined a cohort of patients who had received LC or LA and experienced complications that required reoperations. We focused on patients with postoperative hemorrhages, postoperative peritonitis, early postoperative small bowel obstructions (EPSBO), and biliary complications (after LC) who were treated through a repeat laparoscopic approach. The general demographics of the patients, their postoperative complications, procedures for selecting the appropriate reoperation method, and repeat laparoscopic findings are described in detail. During the 6-year period examined, 1608 patients received LC and 1486 patients received LA at the hospitals participating in this study. In patients with complications requiring reoperation, the repeat laparoscopic approach was performed successfully (without the need for further laparotomy) in 50 per cent of the patients with postoperative hemorrhage (2 of 4), 50 per cent of the patients with postoperative peritonitis (2 of 4), 75 per cent of the EPSBO patients (3 of 5), and 50 per cent the of patients with biliary complications (1 of 2). The repeat laparoscopic approach is an appropriate method for the management of complications arising from laparoscopic surgery. In patients with postoperative hemorrhage, laparoscopic hemostasis and hematoma evacuations can be performed while maintaining stable hemodynamics. In addition, laparoscopic approaches are also feasible for selective post-LC ductal injuries, EPSBO, and unconfirmed diagnoses of peritonitis after laparoscopic surgery.

Original languageEnglish
Pages (from-to)926-932
Number of pages7
JournalAmerican Surgeon
Volume78
Issue number9
Publication statusPublished - Sep 2012

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Reoperation
Laparoscopy
Laparoscopic Cholecystectomy
Appendectomy
Postoperative Hemorrhage
Peritonitis
Therapeutics
Cholelithiasis
Postoperative Care
Appendicitis
Hemostasis
Hematoma
Laparotomy
Hemodynamics
Demography
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Fu, C. Y., Hsieh, C. H., Shih, C. H., Wang, Y-C., Chen, R. J., Huang, H. C., ... Lin, C. (2012). The effects of repeat laparoscopic surgery on the treatment of complications resulting from laparoscopic surgery. American Surgeon, 78(9), 926-932.

The effects of repeat laparoscopic surgery on the treatment of complications resulting from laparoscopic surgery. / Fu, Chih Yuan; Hsieh, Chi Hsun; Shih, Chun Han; Wang, Yu-Chun; Chen, Ray Jade; Huang, Hung Chang; Huang, Jui Chien; Wu, Shih Chi; Lin, Catherine.

In: American Surgeon, Vol. 78, No. 9, 09.2012, p. 926-932.

Research output: Contribution to journalArticle

Fu, CY, Hsieh, CH, Shih, CH, Wang, Y-C, Chen, RJ, Huang, HC, Huang, JC, Wu, SC & Lin, C 2012, 'The effects of repeat laparoscopic surgery on the treatment of complications resulting from laparoscopic surgery', American Surgeon, vol. 78, no. 9, pp. 926-932.
Fu, Chih Yuan ; Hsieh, Chi Hsun ; Shih, Chun Han ; Wang, Yu-Chun ; Chen, Ray Jade ; Huang, Hung Chang ; Huang, Jui Chien ; Wu, Shih Chi ; Lin, Catherine. / The effects of repeat laparoscopic surgery on the treatment of complications resulting from laparoscopic surgery. In: American Surgeon. 2012 ; Vol. 78, No. 9. pp. 926-932.
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