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

Overview

Aim:
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.

Results:
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%.

Conclusion:
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


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Surgery Orthopaedics Trauma surgery
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