TY - JOUR T1 - Intraoperative complications are more common with laparoscopic than with open colorectal surgery JF - Evidence Based Medicine JO - Evid Based Med SP - 19 LP - 20 DO - 10.1136/ebm-2011-100116 VL - 17 IS - 1 AU - Tommie Mynster Y1 - 2012/02/01 UR - http://ebm.bmj.com/content/17/1/19.abstract N2 - Commentary on: Sammour T, Kahokehr A, Srinivasa S, et al. Laparoscopic colorectal surgery is associated with a higher intraoperative complication rate than open surgery. Ann Surg 2011; 253:35–43.OpenUrlCrossRefPubMedWeb of Science 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. 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 … ER -