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Systematic review and meta-analysis
Intraoperative complications are more common with laparoscopic than with open colorectal surgery
  1. Tommie Mynster
  1. Department of Surgery K, Copenhagen University, Copenhagen, Denmark
  1. Correspondence to: Tommie Mynster
    Department of Surgery K, Bispebjerg Hospital, Copenhagen University, Bispebjerg Bakke 23, 2400-NV Copenhagen, Denmark; d254401{at}dadlnet.dk

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Context

The absence of digital manipulation of tissue and thereby the loss of informing input for the surgeon is a consequence of laparoscopic colorectal surgery. Presentation and care of the pathologic organ and surroundings could be compromised when metallic instruments replace the fingers. However, numerous reports have shown equal outcome results of laparoscopic versus open colorectal surgery. But if intraoperative organ injury is more common in laparoscopic colorectal procedures, attention would need to be directed towards its prevention.

Methods

This was a meta-analysis of available randomised controlled clinical trials (RCTs) evaluating laparoscopic versus open surgery for any colonic or rectal indication. Hand-assisted laparoscopic surgery was excluded. The literature search was based on Cochrane strategies and included studies until August 2009. If no complication data …

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