This journal only 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 Full text How to cite this article Language: Spanish References: 14 Page: 195-200 PDF size: 252.61 Kb. Key words: Colon, laparoscopy surgery, morbidity, colectomy. 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. REFERENCES Liberman MA, Phillips EH, Carroll BJ, Fallas M, Rosenthal R. Laparoscopic colectomy vs traditional colectomy for diverticulitis, Outcome and costs. Surg Endosc 1996; 10: 15-8 Bernstein MA, Dawson JW, Reissman P, Veiss EG, Nogueras JJ, Wexner SD. Is complete laparoscopic colectomy superior to laparoscopic assisted colectomy? Am Surg 1996; 62: 407-11 Thilbault C, Poulin EC. Total laparoscopic proctocolectomy and laparoscopy-assisted proctocolectomy for inflammatory bowel disease: operative technique and preliminary report. Surg Laparosc Endosc 1995; 5: 472-6 Paik PS, Beart RW Jr. Laparoscopic colectomy. Surg Clin North Am 1997; 77: 1-13 Gellman L, Salky B, Edye M. Laparoscopic assisted colectomy. Surg Endosc 1996; 10: 1041-4 Brewer DA. Laparoscopic colorectal surgery. Dis Colon Rectum 1995; 38: 1119-20 Quilici PJ. New developments in laparoscopy: USSC Press; NY, USA, 1992 Quilici PJ. Second generation laparoscopic procedures: TMN Press; NY USA, 1990 Phillips EH, Franklin ME Jr, Carroll BJ, Fallas MJ, Ramos R, Rosenthal D. Laparoscopic colectomy: Ann Surg 1992; 216: 703-7. Franklin ME Jr, Ramos R, Rosenthal D, Schuessler W. Laparoscopic colon procedures: World J Surg 1993; 17: 51-6 Cuschieri A. Whither minimal access surgery: tribulations and expectations. Am J Surg 1995; 169: 9-19 Franklin ME Jr, Rosenthal D, Abrego-Medina D, Dorman JP, Glass Jl, Norem R, et al. Prospective comparison of open vs. Laparoscopic colon surgery for carcinoma: five- year results. Dis Colon Rectum 1996; 39(Supp): S35-S46 Lacy AM, Garcia-Valdecasas JC, Delgado S, Grande L, Fuster J, Tabet J, et al. Postoperative complications of laparoscopic-assisted colectomy. Surg Endosc 1997; 11: 119-22 15. Falk PM, Beart RW Jr, Wexner SD, Thorson AG, Jagelman DG, Lavery IC, et al. Laparoscopic colectomy: a critical appraisal. Dis Colon Rectum 1993; 36: 28-34.