#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Preliminary Experience with Minimally Invasive Colorectal Surgery in a Local Surgical Clinic


Authors: D. Chlapík
Authors‘ workplace: Chirurgické oddelenie, Nemocnica Trenčín, Slovenská republika, primár: MUDr. D. Chlapík, Ph. D.
Published in: Rozhl. Chir., 2007, roč. 86, č. 9, s. 466-470.
Category: Monothematic special - Original

Overview

The Aim:
The aim of the retrospective study is to present outcomes of introduction of minimally invasive colorectal surgical techniques in a local surgical clinic.

Material and Methods:
The author assessed the subjects indications for laparoscopic resections of the left hemicolon and rectum, according to the following criteria: diagnosis, age, ASA, BMI, preceeding intraabdominal procedures. Surgical tactics, techniques and locating diagnostic proccdures are described in the study. Furthermore, duration of the procedures, postoperative complications and duration of hospitalization is recorded.

Results:
From October 2006 to April 2007, 12 subjects (6 males and 6 females) aged between 48 and 78 years, were indicated for laparoscopic resections of the colon and rectum. The diagnoses included rectal carcinomas (5x), sigmoid carcinomas (3x), a lienal flexure carcinoma (1x), relapsing diverticulitis of the sigmoid (2x) and a rectal prolaps (1x). ASA 2..7x, ASA 3..3x, ASA 4..2x. In a single subject, the procedure was converted due to a voluminous rectal carcinoma. The laparoscopically completed procedures lasted for 156 to 317 minutes. Postoperative complications included: postanaesthetic respiratory depression, transient paresis of the n. radialis l.dx., n. fibularis l.dx. and contusion of the right thenar.The hospitalization duration ranged from 9 to 18 days. The number of removed lymphonodes in malignancies was from 3 to 11.

Conclusion:
Conditions of a local surgery do not prevent safe introduction of laparoscopic colorectal procedures, providing thorough training is provided and the patients selected.

Key words:
general surgery – colorectal surgery – laparoscopic resection


Sources

1. Kitano, S., Kitajima, M., Konishi, F., et al. A multicenter study on laparoscopic surgery for colorectal cancer in Japan. Surg. Endosc., 2006, roč. 20, č. 9, s. 1348–1352.

2. Do, L. V., Laplante, R., Miller, S., Gagné, J.-P. Laparoscopic colon surgery performed safely by general surgeons in a comunity hospital. A review of 154 consecutive cases. Surg. Endosc., 2005, roč. 19, č. 12, s. 1533–1537.

3. Malik, A., Melliger, J. D., Hazey, J. W., et al. Endoluminal and transluminal surgery: current status and future possibilities. Surg. Endosc., 2006, roč. 20, č. 8, s. 1179–1192.

4. Dostalík, J. Laparoskopická kolorektální chirurgie. 1. vyd., Presstempus s.r.o., 2004. 137 s., ISBN 80-903350-3-9.

5. Fleshman, J., Marcello, P., Stamos, M. J., Wexner, S. D. Focus Group on Laparoscopic Colectomy Education as endorsed by the American Society of Colon and Rectal Surgerons (ASCRS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Surg. Endosc., 2006, roč. 20, č. 7, s. 1162–1167.

6. Tekkis, P. P., Senagore, A. J., Delaney, C. P. Conversion rates in laparoscopic colorectal surgery. A predictive model with 1253 patients. Surg. Endosc., 2005, roč. 19, č. 1, s. 47–54.

7. Belizon, A., Sardinha, C. T., Sher, M. E. Converted laparoscopic colectomy. What are the consequences? Surg. Endosc., 2006, roč. 20, č. 6, s. 947–951.

8. Carpelan-Holmström, M., Kruuna, O., Scheinin, T. Laparo-scopic rectal prolapse surgery combined with short hospital stay is safe in elderly and debilitated patients. Surg. Endosc., 2006, roč. 20, č. 9, s. 1353–1359.

9. Bretagnol, F., Lelong, B., Laurent, C., et al. The oncological safety of laparoscopic total mesorectal excision with sphincter preservation for rectal carcinoma. Surg. Endosc., 2005, roč. 19, č. 7, s. 892–896.

10. Henny, C. P., Hofland, J. Laparoscopic surgery, Pitfalls due to anesthesia, positioning, and pneumoperitoneum. Surg. Endosc., 2005, roč. 19, č. 9, s. 1163–1171.

Labels
Anaesthesiology, Resuscitation and Inten Paediatric surgery Paediatric urologist Vascular surgery Chest surgery Maxillofacial surgery Plastic surgery Surgery Intensive Care Medicine Cardiac surgery Cardiology Neurosurgery Clinical oncology Orthopaedics Burns medicine Orthopaedic prosthetics Rehabilitation Nurse Traumatology Trauma surgery Urology Medical student
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#