1000 Laparoscopic Colorectal Operations

Authors: J. Dostalík;  P. Guňková;  I. Martínek;  P. Vávra;  I. Guňka;  M. Mazur
Authors‘ workplace: Chirurgická klinika FN Ostrava a LF OU Ostrava, přednosta: doc. MUDr. Jan Dostalík, CSc.
Published in: Rozhl. Chir., 2011, roč. 90, č. 8, s. 457-462.
Category: Monothematic special - Original


The aim of this study was to asses the role of laparoscopy based on experiences with 1000 miniinvasive colorectal procedures.

Material and methods:
The prospective study of 1000 patients after elective laparoscopic procedures for colorectal diseases at Municipal Hospital Ostrava Fifejdy and the Surgical Clinic of University Hospital Ostrava between February 1993 and December 2010 was undertaken. Patients with both benign and malignant colorectal pathologies were included in the study. Except of baseline demographic data, the types of surgical procedure, conversion rates, peroperative complications, blood loss, operating time, number and reasons for reoperations, postoperative morbitidy and mortality, number of blood transfusions and length of hospital stay were analysed. For the analysis descriptive statistics methods were used.

There were 609 men (60.9%) and 391 women (39.1%). The mean age was 64 years (range 15–97 years), mean BMI was 26.7 (range 14.6–48.0). The most frequent operations were on the right colon (22.2%), sigmoid colon (21.7%) and low anterior resections of the rectum (20.4%). Peroperative complications were in 44 patients (4.4%). Reoperations were necessary in 105 patients (10.5%), postoperative morbidity was 22.6% and 30-day mortality was 4.1%.

Laparoscopy is safe and effective method in the treatment of both malignant and benign diseases of colon and rectum.

Key words:
laparoscopic colorectal surgery – colorectal pathology – laparoscopy


1. Sklow, B., Read, T., Birnbaum, E., Fry, R., Fleshman, J. Age and type of procedure influence the choice of patients for laparoscopic colectomy. Surg. Endosc., 2003; 17: 923–929.

2. Schlachta, C. M., Mamazza, J., Seshadri, P. A., Cadeddu, M. O., Fregoire, R., Poulin, E. C. Defining a learning curve for laparoscopic colorectal resections. Dis. Colon Rectum, 2001, 44: 217–222.

3. Reissman, P., Cohen, S., Weiss, E. G., Wexner, S. D. Laparoscopic colorectal surgery: ascending the learning curve. World J. Surg., 1996, 20: 277–282.

4. The American Society of Colon and Rectal Surgeons. Approved statement: Laparoscopic colectomy for curable cancer. Surgery or Endoscopy, 2004, 18(8): A1.

5. Yamamoto, S., Fukunaga, M., Miyajima, N., Okuda, J., Konishi, F., Watanabe, M. Impact of conversion outcomes after laparoscopic operation or rectal carcinoma: a retrospective study of 1073 patients. J. Am. Coll. Surg., 2009, 208(3): 383–389.

6. Lourenco, T., Murray, A., Grant, A., McKinley, A., Krukowski, Z., Vale, L. Laparoscopic surgery for colorectal cancer: safe and effective? A systematic review. Surg. Endosc., 2008, 22: 1146–1160.

7. Senagore, A. J., Delaney, C. P. A critical analysis of laparoscopic colectomy at a single institution: lessons learned after 1000 cases. The American Journal of Surgery, 2006, 191: 377–380.

8. Casillas, S., Delaney, C. P., Senagore, A. J., Brady, K., Fazio, V. W. Does conversion of a laparoscopic colectomy adversely affect patient outcome? Dis. Colon Rectum, 2004, 47: 1680–1685.

9. Dostalík, J. Laparoskopická kolorektální chirurgie. Presstempus, 2004, ISBN 80-903350-3-9, s. 57–103.

10. Jacobs, M., Verdeja, J. C., Goldstein, H. S. Minimally invasive colon resection (laparoscopic resection). Surg. Endosc., 1991, 1: 144–150.

11. Balantyne, G. H., Leahy, P. F. Hand assisted laparoscopic colectomy: evolution to a clinically useful technique. Dis. Colon Rectum, 2004, 47(5): 753–765.

12. Leroy, J., Jamali, F., Forbes, L. Laparoscopic total mesorectal excision (TME) for rectal cancer surgery: long- term outcomes. Surg. Endosc., 2004, 18(2): 281–289.

13. Dostalík, J., Květenský, M., Mrázek, T., Martínek, L. Laparoskopická resekce sigmoidea. Rozhl. Chir., 1993, 72: 246–248.

14. Tekkis, P. P., Senagore, A. J., Delaney, C. P. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right sided and left sided resections. Ann. Surg., 2005, 242 (1): 83–91.

15. Young-Fadok (tm), Fanelli, R. D., Price, R. R., Earle, D. B. Laparoscopic resection of curable colon and rectal cancer: an evidence-based review. Surg. Endosc., 2007, 21: 1063–1068.

16. Wexner, S., Cohen, S. Port site metastases after laparoscopic colorectal surgery for cure of malignancy. Br. J. Surg., 1995, 82: 295–298.

17. Aalbers, A. G. J., Biere, S. S. A. Y., van Berge Henegouwen, M. I., Bemelman, W. A. Hand- assisted or laparoscopic- assisted approach in colorectal surgery: a systematic review and meta-analysis. Surg. Endosc., 2008, 22: 1769–1780

18. Senagore, A. J., Duepree, H. J., Delaney, C. P. Cost structure of laparoscopic and open sigmoid colectomy for diverticular disease: similarities and differences. Dis. Colon Rectum, 2006, 45: 485–490.

19. Duepree, H. J., Senagore, A. J., Delaney, C. P. Advantages of laparoscopic resection for ileocecal Crohn‘s disease. Dis. Colon Rectum, 2002, 45: 605–610.

20. Lindsetmo, R. O., Delaney, C. P. A standartized technique for laparoscopic rectal resection. J. Gastrointest. Surg., 2009, 13: 2059–2063.

21. Miyajima, N., Fukunaga, M., Hasegawa, H., Tanaka, J., Okuda, J., Watanabe, M. Results of a multicenter study of 1057 cases of rectal cancer treated by laparoscopic surgery. Surg. Endosc., 2009, 23: 113–118.

22. Lacy, A. M., Garcia-Valdecasas, J. C., Delgado, S. , Castells, A., Taurá, P., Piqué, M., Visa, J. Laparoscopy- assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomised trial. The Lancet, 2002; 359: 2224–2229

23. Guillou, P. J., Quirke, P., Thorpe, H. Short term endpoints of conventional versus laparoscopic assisted surgery in patients with colorectal cancer (MRC CLASSIC trail): multicentre, randomized controlled trail. Lancet, 2005; 365: 1718–1726.

24. Jayne, D. G., Guillou, P. J., Thorpe, H., Quirke, P., Copeland, J., Smith, A. H., Heath, M., Brown, J. M. Randomised trial of laparoscopic- assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC trial group. J. Clin. Oncol., 2007; 25: 3061–3068.

25. Veldkamp, R., Gholghesaei, M., Bonjer, H. J., et al. Laparoscopic resection of Colon Cancer: consensus of the European Association of Endoscopic Surgery (EAES). Surg. Endosc., 2004; 18: 1163–1185.

26. The standart Practise Task Force and the American Society of Colon and Rectal Surgeons. Practise parameters for the management of rectal cancer. Dis. Colon Rect., 2005; 48: 411–423.

27. Neugebauer, E. A. M., Sauerland, S., Fingerhut, A., Millat, B., Buess, G. EAES Guidelines for Endoscopic Surgery. Twelve Years Evidence-Based Surgery in Europe. 2006, Springer, ISBN-10 3-540-32783-5, p. 143–160.

28. Schwandner, O., Farke, S., Fischer, F., Eckmann, C., Schiedeck, T. H., Bruch, H. P. Laparoscopic colectomy for recurrent and complicated diverticulitis: a prospective study of 396 patients. Langenbecks Arch. Surg., 2004; 389: 97–103.

29. Martínek, L., Dostalík, J., Guňka, I. Miniinvazivní chirurgie v České republice. Rozhl. Chir., 2008, 87: 563–566.

Surgery Orthopaedics Trauma surgery
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

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


Don‘t have an account?  Create new account