Hazbón NHR, Rueda JC, Mantilla RD, Hubert J

Language: Spanish
References: 14
Page: 53-56
PDF size: 99.64 Kb.

ABSTRACT

Introduction: The appearance of the laparoscopy in the surgical field has managed to win you limit that we believed, we could not obtain with the present techniques of minimum invasion. Nowadays it is of routine practice the use of laparoscopy in the field of the surgery of colon and rectum as much by benign pathologies as you vitiate. We will describe the experience with a group of patients to who we practiced different types to them from Colectomys and we will discuss the results. Objectives: To make and to analyze the experience in Colectomys by laparoscopic made in hospital BICHAT of Paris and clinical Saint Marie de Pontoise during the period of November of 1991 until September of 1998 retrospectively and prospectively from September of 1998 to June of 1999, to compare the results with the statistics already known in Literature, and to determine the decrease of the morbidity with respect to the number of made procedures. Material and methods: Clinical histories of the patients were reviewed who were taken to Colostomies during November of 1991 until June of 1999. The collected data were analyzed and compared with present Literature. Results: As far as duration of the surgical act, and complications are comparable with the open technique. Respect to the conversion is clear that while you acquire the learning curve we are going to find the greater one number of these to avoid times very prolonged. Conclusions: The accomplishment of surgeries of colon and rectum by laparoscopy today is a reality with suitable results so that it is a safe technique and to maintain it like an alternative of first option.

REFERENCES

1. Plasencia J. Laparoscopia y toracoscopia. Mc Graw-Hill. 1997: 243.

2. Fusco MA, Paluzzi MW. Abdominal wall recurrence after laparoscopic assisted colectomy for adenocarcinoma of the colon, report of case. Dis Colon Rectum 1993; 36: 859-861.

3. O’Rourke N, Price PM, Kelly S et al. Tumor inoculation during laparoscopy. Lancet 1993; 342: 368-369.

4. Plasencia G, Jacobs M, Verdeja JC et al. Laparoscopic-assisted sigmoid colectomy and low anterior resection. Dis Colon Rectum 1994; 37; 829-33.

5. Cadiére GB, Leroy J. Colectomie gauche pour cancer par voie laparoscopique. J Coelio-Chirurgie 1994; 12: 17-22.

6. Franklin ME, Rosenthal D, Dorman JP, Glass JL. Prospective comparison of open vs laparoscopic colon surgery for carcinoma: five years result. Meeeting of the American Society of Colon and Rectal Surgeons, Seattle, Washington, 1996.

7. Cadiére GB, Leroy. Cours european de chirugie laparoscopique. UniVersite libre de Bruxelles, 1999: 118.

8. Schwandner O, Schiedeck TH, Bruch H. The role of conversion in laparoscopic colorectal surgery: Do predictive factors exist? Surg Endosc 1999; 13: 151-156.

9. Tomita H, Marcello PW, Milsom JW. Laparoscopic surgery of the colon and rectum. World J Surg 1999; 23: 397-405.

10. Hayashi N, Egami H, Kai M et al. No-touch isolation technique reduces intraoperative shedding of tumor cells into the portal vein during resection, of colorectal cancer. Surgery 2000; 125: 369-374.

11. Reissman P, Cohen S, Weiss EG et al. Laparoscopic colorectal surgery: ascending the learning curve. World J Surg 1996; 20: 277-81.

12. Lacy AM, Garcia-Valdecasas JC, Delgado S et al. Postoperative complications of laparoscopic assisted colectomy. Surg Endosc 1997; 11: 119-.

13. Kwok SP, Lau WY, Carey PD et al. Prospective evaluation of laparoscopic-assisted large-bowel excision for cancer. Ann Surg 1996; 223: 170-6.

14. Prospective evaluation of laparoscopic assisted large bowel excision for cancer. Annals of Surgery 1996; 223: 170-6.