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2008, Number 3

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Rev Mex Cir Endoscop 2008; 9 (3)

Video-assisted laparoscopic colorectal surgery. Initial experience at the Hospital de Especialidades del Centro Médico Nacional Siglo XXI. Instituto Mexicano del Seguro Social

Rojas IMF, Rocha RJL, Saldaña GJA, Chávez VOE, Olvera FÓE

Language: Spanish
References: 25
Page: 113-118
PDF size: 94.93 Kb.


ABSTRACT

Background: Since Moisés Jacobs et al. carried out for the first time a laparoscopic colorectal surgery procedure in 1991, this surgical boarding type has been the preference of many surgeons in the whole world. Currently, it is possible to solve almost all the colorectal pathology by laparoscopic route, achieving excellent results thanks to the advantages that the same one offers such as minor postoperative pain, decrease in the transoperative hemorrhage, and quick resumption of work activities. The results of the oncologic dissection with this surgical access in international series are presented, which are similar to those of open surgery. Patients and methods: A retrospective analysis of the database of HECMNSXXI – IMSS colorectal surgery service was carried out. Of this database were obtained demographic and statistical variables of all the patients operated by video-assisted laparoscopic route. The technique of preference of the author was described. Results: A total of 47 procedures were carried out from october 2007 to august 2008. The principal indications were colovesical fistula (15 patients), complete rectal prolapsed (11 patients), and diverticular disease (7 patients). The most frequent procedures were sigmoidectomy 23 (48.9%), sigmoidectomy with rectopexy 11 (23.4%), left hemicolectomy 4 (8.5%). The average surgical time was 190 (65-360) minutes; the transoperative hemorrhage was of 121 (30-210) mL. The morbidity was 14.8%, zero mortality. There were no conversions. Conclusions: The laparoscopic colorectal surgery has been very well accepted worldwide, but it is important to emphasize that the surgeons who should realize it must have a suitable training and sufficient.


REFERENCES

  1. Jacobs M, Verdaja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colostomy). Surg Laparosc Endosc 1991; 1: 144-150.

  2. Milsom JW, Bohm B, Decanini C, Fazio VW. Laparoscopic oncologic proctosigmoidectomy with low colorectal anastomosis in a cadaver model. Surg Endosc 1994; 8: 1117-1123.

  3. Bohm B, Milsom JW, Kitago K, Brand M, Stolfi VM, Fazio VW. Use of laparoscopic techniques in oncologic right colectomy in a canine model. Ann Surg Oncol 1995; 2: 6-13.

  4. Psaila J, Bulley SH, Ewings P, Sheffield JP, Kennnedy RH. Outcome following laparoscopic resection for colorectal cancer. BR J Surg 1998; 85: 662-664.

  5. Alexander RJ, Jaques BC, Mitchell KG. Laparoscopically assisted colectomy and wound recurrence. Lancet 1993; 341: 249-250.

  6. Senagore AJ, Duepree HJ, Delaney CP et al. Cost structure of laparoscopic and open sigmoid colectomy for diverticular disease: similarities and differences. Dis Colon Rectum 2002; 45: 485-490.

  7. Alves A, Panis Y, Slim K, Heyd BF, Kwiatkowski G. Mantion and the Association Francaise de Chirurgie. French multicentre prospective observational study of laparoscopic versus open colectomy for sigmoid diverticular disease. Br J Surg 2005; 92: 1520-1525.

  8. Chouillard Elie, Maggiori Le´on, Ata Toufic. Laparoscopic two-stage left colonic resection for patients with peritonitis caused by acute diverticulitis. Dis Colon Rectum 2007; 50: 1157-1163.

  9. Sauerland S, Agresta F, Bergamaschi R et al. Laparoscopy for abdominal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc 2006; 20: 14-29.

  10. Janes SEJ, Meagher A, Frizelle AF. Management of diverticulitis. BMJ 2006; 332: 271-275.

  11. Kellokumpu IH, Vironen J, Scheinin T. Laparoscopic repair of rectal prolapse: a prospective study evaluating surgical outcome and changes in symptoms and bowel function. Surg Endosc 2000; 14: 634-640.

  12. Frykman HM, Goldberg SM. The surgical treatment of rectal procidentia. Sur Gynecol Obstet 1969; 129: 1225-1230.

  13. Farouk R, Duthie GS, Bartolo DC, MacGregor AB. Restoration of continence following rectopexy for rectal prolapse is associated with recovery of the internal anal electromyograma. Br J Surg 1992; 79: 439-440.

  14. Ashari LHS, Lumley JW, Stevenson ARL, Stitz RW. Laparoscopically-assisted resection rectopexy for rectal prolapse: Ten years’ experience. Dis Colon Rectum 2005; 48: 982-987.

  15. Dowson HM, Huang A, Soon Y, Gage H, Lovell DP, Rockall TA. Systematic review of the costs of laparoscopic colorectal surgery. Dis Colon Rectum 2007; 50: 908-919.

  16. Solomon MJ, Young CJ, Eyers AA, Roberts RA. Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapsed. Br J Surg 2002; 89: 35-39.

  17. Braga M, Vignati A, Gianotti L et al. Laparoscopic versus open colorectal surgery: a randomized trial on short-term outcome. Ann Surg 2002; 236: 759-767.

  18. Clinical outcomes of surgical therapy study group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004; 350: 2050-2059.

  19. Veldkamp R, Kuhry E, Hop WC et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomized trial. Lancet Oncol 2005; 6: 477-484.

  20. Veldkamp R, Gholgheaeaei M, Bonjer HJ et al. Laparoscopic resection of colon cancer: consensus of the European Association of Endoscopic Surgery (EAES). Surg Endosc 2004; 18: 1163-1185.

  21. The American Society of Colon and Rectal Surgeons website. Position statements. Laparoscopic colectomy for curable cancer. 2003. Available at: http://www.fascrs. Org. Accessed April 2006.

  22. Kuhry E, Bonjer HJ, Haglind E et al. THE COLOR Study group. Impact of hospital case volume on short-term outcome after laparoscopic operation for colonic cancer. Surg Endosc 2005; 19: 687-692.

  23. Laurent SR, Detroz B, Detry O, Degauque C, Honoré P, Meurisse M. Laparoscopic sigmoidectomy for fistulized diverticulitis. Dis Colon Rectum 2005; 48: 148-152.

  24. Goillou PJ, Quirke P, Thrope H et al. Short- term endpoints of conventional vs Laparoscopic-assisted surgery in patients with colorectal cancer (MRC-CLASICC trial): multicenter, randomized controlled trial. Lancet 2005; 365: 1718-1726.

  25. Hyman N. How much colorectal surgery do general surgeons do? J Am Coll Surg 2002; 194: 37-39.




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