S Winstanley

St. Charles Hospital, Port Jefferson, New York, United States

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Publications (1)2.02 Total impact

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    A P Saklani · N Naguib · P R Shah · P Mekhail · S Winstanley · A G Masoud
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    ABSTRACT: Aim:  While there is evidence that laparoscopy creates fewer adhesions, evidence regarding decreased episodes of adhesive obstruction in LCR is still lacking. The aim of our study was to compare the incidence of adhesion related admissions/surgery in patients undergoing LCR and open colorectal resections (OCR). Method:  We conducted a retrospective analysis of a prospectively collected database, including all patients undergoing LCR and OCR between 2001 and 2010. Patients with less than six months follow-up were excluded. Patients who were converted to open surgery were included in the laparoscopic group. Details regarding readmission rates and surgery for adhesive obstruction were obtained from clinical portals and theatre database. Statistical analysis was performed using Fisher's exact test, Mann Whitney U test and student "t" test. Results:  144 patients had LCR with a median follow-up of 24.5 months (range 6-108). Similarly 187 patients underwent OCR, with median follow up of 49 months (range 6-104). Six out of 144 (4.2%) patients in the LCR group had adhesion related admission/obstruction compared to 13 out of 187 (6.95%) patients in the OCR group (p=0.34). Three out of 144 (2.1%) patients who had LCR required surgery for adhesive obstruction compared to five out of 187 (2.7%) OCR (p=0.73). Conclusion:  In our study there was no statistically significant difference in the incidence of postoperative adhesive intestinal obstruction between LCR and OCR groups. © 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
    Colorectal Disease 05/2012; 15(1). DOI:10.1111/j.1463-1318.2012.03098.x · 2.02 Impact Factor