Ibarrola-Calleja JL, Rodríguez-González M, Núñez-Bentz F, Sánchez-Moscoso R, Ordóñez-Céspedes J, González-Pezzat I, Eljure-Eljure M

Language: Spanish
References: 27
Page: 191-196
PDF size: 178.90 Kb.

ABSTRACT

Introduction: Laparoscopic surgery was born with Kelling in 1902; from there this type of procedure was accepted and captivating many surgeons; an important precursor of colon surgery by laparoscopy is Moises Jacobs. Our goal is to present the experience and outcomes in laparoscopic colon surgery for a surgical group, developed from January 2005 to January 2010. Material and methods: Of the 105 patients operated, 91 were enrolled. Patients were operated with both colorectal benign and malignant disease. The colonic preoperative preparation was done in all patients (except in 6 patients who underwent emergency surgery). Anesthesia was epidural, intravenous and local (laparoscopic ports). Harmonic scalpel, linear and circular staplers and a bag of laparoscopy for removal of the specimen were used. Results: 91 patients were included in the study, of whom 78 (85.7%) underwent surgery for benign and 13 (14.3%) for malignant illness, the most frequent benign pathology was the complicated diverticular disease with 58.2% and in the malignant group was the left colon adenocarcinoma. Mean operative time was 171 minutes (60-360), the average of hospital stay was 13 days, the convertion rate was 2.2%, and the mortality was 2.2%, the average of the transoperatory bleeding was 255 mL and the complication percentage was 13.2. Conclusion: The laparoscopic colon surgery is totally safe and efficient in benign and malignant disease, but with the advantage of an early recovery, a less immunologic response and less postoperative pain.

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