The role of laparoscopic approach for @entity834 after minimally invasive surgery for XXXX .

@entity1 @entity834 @entity14 @entity2737
OBJECTIVES: The objectives of this study were to evaluate the feasibility and safety of a re-laparoscopic approach to manage @entity834 after minimally invasive colorectal resection and to compare its clinical outcomes with those obtained using an open approach. METHODS: We retrospectively reviewed clinical data from 1714 @entity1 who underwent @entity14 resection from September 2006 to August 2009 at the Korea University Medical Center. Clinical data from a total of 57 surgery @entity1 who developed @entity834 were analyzed. RESULTS: Twenty-six leakage cases were managed laparoscopically, whereas the remaining 31 leakage cases were managed using an open approach. There were no significant differences in age, sex, or other clinical features between @entity1 in the two groups. The total operation time was shorter in the laparoscopic group (107.3        68.1 minutes) than in the open group (126.5        50.1 minutes), but this difference was not statistically significant (P   =   .230). Six cases in each group required additional procedures such as reoperation or percutaneous intervention (P   =   .126). There was one case of postoperative mortality in the open group. Median (quartiles 25%-75%) number of days required to resume a soft diet tended to be shorter in the laparoscopic group than the open group (5 [3-7] versus 6 [5-10] days; P   =   .057). @entity1 in both groups showed similar postoperative complications including intraabdominal abscess; however, the incidence of @entity2737 was significantly lower in the laparoscopic group than the open group (3.8% versus 25.8%; P   =   .031). CONCLUSIONS: Compared with conventional open treatment of @entity834 , the laparoscopic approach resulted in fewer wound complications and tendency of early recovery of bowel movement without an increase in adverse outcomes. Using a laparoscopic approach, all the advantages of minimally invasive surgery can be realized in @entity1 who develop @entity834 after minimally invasive surgery.
