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ISSN 1405-0099 (Print)

2009, Number 3

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Cir Gen 2009; 31 (3)

Experience at the Hospital Español de México in laparoscopic colectomy

Fernández ÁJ, Baqueiro CA, Gómez LJM, Terrazas EF, Rojas GP, Ibarra MB, Vargas UG

Language: Spanish
References: 21
Page: 159-163
PDF size: 40.94 Kb.


ABSTRACT

Objective: To present the experience of the Hospital Español de México in laparoscopic colectomies. Setting: Third level health care hospital. Design: Retrospective, descriptive, observational study. Statistical analysis: Percentages as summary measure for qualitative variables. Patients and methods: A series of 139 patients subjected to laparoscopic colectomy, from April 1995 to April 2009. We determined demographic data, causes of the surgery, type of colectomy, anatomical site, surgical time, conversion, post-operative evolution, and morbidity and mortality. Results: Of the 139 patients, 123 (88.5%) were elective and 16 (11.5%) were emergency surgeries. Regarding surgical technique, 121 (87%) were performed with assisted laparoscopy and 18 (13%) were hand-assisted laparoscopies. Regarding etiology, 57% were due to diverticulitis, 33% due to cancer, and the other 10% due to other pathologies. Left side resections corresponded to 77% and 17% to the right side, one corresponded to resection of the transverse colon, three were low anterior, and two were abdomino-perineal resections. We performed 74 intracorporeal anastomoses, 29 extracorporeal, and 19 corresponded to stomas. Surgical time was in average of 165 min. Conversion to open surgery occurred in 18 cases, and 6 patients had to be re-operated. We had 26 (18.7%) complications, of which 16 were minor ones, 10 were major (6 leaks and 2 stenoses, one obstruction and one bleeding), and 1 patient died. Start of oral feeding was on the 4th day and in-hospital stay amounted to 7.6 days in average. Conclusion: Surgery of the colon through laparoscopy is a method that offers benefits for the patient, and is feasible with acceptable rates of morbidity and mortality in our milieu.


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