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ISSN 1665-2576 (Print)

2007, Number 2

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Rev Mex Cir Endoscop 2007; 8 (2)

One hundred assisted colorectal laparoscopic procedures. Experience at the Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán'

González CQ, Moreno BJM, Jonguitud ML, Tapia CLH, Vergara FO, López RF, Ramos-Veana RE

Language: Spanish
References: 26
Page: 73-78
PDF size: 77.59 Kb.


ABSTRACT

Background: Some of the advantages of the laparoscopic approach have also been corroborated in the field of colorectal surgery, such as less postoperative pain, lower blood loss, shorter hospital stay, better cosmesis and soon return to normal activities. However some doubts still exist regarding appropriate patient selection, surgery indication and specially the cost-efficiency analysis.
Patients and methods: A prospective series of patients who underwent laparoscopic colorectal surgery was analyzed. The demographical and statistical data was analyzed. A definition of conversion was established.
Results: One hundred procedures were included in the analysis; the most frequent were sigmoidectomy, right hemicolectomy and total mesorectal excision. The most frequent indications were diverticular disease, colonic cancer and rectal cancer. The mean operative time was 156 min, mean blood loss was 160 ml, conversion rate was 7%. No patient developed recurrence of malignant disease, a mean of 15.7 nodes was resected in cancer procedures. The morbidity rate was 19% and the mortality rate was 1%.
Conclusions: There is sufficient evidence to support the use of laparoscopy in colorectal surgery if the surgeon has the required experience and training.


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