Blas FM, Téllez PD, Arenas OJ, Velázquez GJA, Pichardo FMA, Delgadillo THG, Serrano GI, Servín TE, Valenzuela SC, Hernández FJ, Gallardo GMA, Maldonado GR, Dávila ZMR, Herrera EJJ, Alonso LJO, León TAM, Gutiérrez MLI

Language: Spanish
References: 27
Page: 160-167
PDF size: 39.57 Kb.

ABSTRACT

Introduction: At present, the use of minimally invasive surgery for colorectal disease has gained unprecedented importance in the evolution of colorectal surgery. Over the past quarter century, mainly in the last decade, there has been a synergism among the new surgical approaches as well as innovations in the technological field of minimally invasive surgery; which have allowed the world-class colorectal surgeon to offer the highest best quality medical care to its patients, thus contributing to the development and well-being of humanity. Material and methods: We performed a prospective analysis of a prolective database, were we included 167 patients who had undergone a minimally invasive procedure for benign as well as malign colorectal disease, which were performed in Mexico City from April 2005 to October 2011 by a single surgeon who led two surgical teams in two different public institutions and in the private practice. Results: From the total of 167 patients: 98 (58.6%) were female and 69 (41.3%) were men, between 23 and 83 years old, a median age of 47. 68 patients (40.7%) had benign pathology, 59 (35.3%) had colorectal tumors and 40 (23.9%) had complications of post-radiation therapy for cervical, ovarian and unresectable colorectal and prostate cancer. Discussion: The evidence shown in meta-analyses performed in specialized centers all over the world, has limited the skeptical opinions from some traditional surgical teams. In our country, the different series performed by several specialized centers in colorectal disease, have as well shown this benefits; although these series are not meta-analyses, they do give us the opportunity to visualize our current situation. Conclusions: Minimally invasive surgery applied to the treatment of benign and malign colorectal disease is possible in our country, with safe, reproducible and satisfactory results. We should continue with this fascinating surgical challenge, with the aim to create new paradigms in the field of minimally invasive surgery, to establish national treatment guidelines in the field of colorectal surgery in the near future.

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