medigraphic.com

2000, Number 3

Cir Gen 2000; 22 (3)

Resection of the sigmoid and/or descending colon through non-assisted laparoscopy. Experience with 11 patients

Lozano DG, Montoya RJ, Aguilar SOA, Oviedo MVM, Gamiño OFJ, Pérez CF

Language: Español
References: 14
Page: 195-200
PDF size: 252.61 Kb.


ABSTRACT

Objective: To describe the non-assisted laparoscopic technique used to resect the sigmoid and/or the descending colon and to inform on our experience with eleven patients.
Design: Prospective, non-randomized study.
Setting: Third level health care hospital.
Patients and methods: From September 27,1995 to September 30, 1999, we studied 11 patients that complied with the following inclusion criteria: having a benign disease of the colon and/or sigmoid, aged between 15 and 70 years, with body mass index below 30%, without uterine myomatosis, ASA I-II classification, and informed consent for the study. All were subjected to the same surgery.
Results: Six patients were men and five were women, with an average age of 49 years. Colonic preparation was started 48 h before surgery. Average surgical time was of 240 min, with an average transoperative hemorrhage of 300 ml. All were subjected to transoperative colonostomy to limit adequately the resection site. Permeability, tightness, and hemorrhage of the anastomosis were assessed. No conversion to open.surgery was performed. The most frequent postoperative complications were left basal atelectasis (82%) and metabolic ileus (18%). Hospital stay was of 4 to 7 days, and working disability was of 10 days.
Conclusion: Non-assisted laparoscopic resection of the sigmoid and/or colon is feasible to be performed in benign alterations of the colon.

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